Subscription

Name
First name
Mobile Number
Club name
Comments
Lunch
Email

Pre-registration: 25€, registration at the income: 30€
Please transfer the correct amount on 068-2460186-02 (Iban nr BE32-0682-4601-8602 / swift GKCCBEBB)
with the remark ‘Clinic 2008'
Please take the proof of payment with you!