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here - laif agentur für photos & reportagen

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<strong>laif</strong> Agentur <strong>für</strong> Photos und Reportagen GmbH<br />

Merowingerstraße 5-7<br />

50677 Köln<br />

Surname, First Name<br />

Street<br />

Post Code, Town<br />

Telephone Number<br />

/REgISTRATION:<br />

I <strong>here</strong>by confirm my binding registration for the following workshop:<br />

GRANT WRITING WORKSHOP<br />

16. - 17. OCTOBER 2012, HAmBuRG<br />

You will be billed once the registration period has closed. Please state your full invoice address. Unfortunately we<br />

are unable to accept registrations without an authorized direct debit. Please send your application and direct debit<br />

authorization to <strong>laif</strong> by fax, post or e-mail. If you wish to cancel your application after the registration period<br />

has elapsed, we are unable to refund registration fees.<br />

E-Mail<br />

16 October 2012:<br />

190 euros + 19% VAT<br />

17 October 2012<br />

190 euros + 19% VAT<br />

(Please check the desired date.)<br />

Signature

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