EHB YEARLY COORDINATORS' MEETING PARTICIPATION FORM

I will attend the VISIT of the EHB premises (from 12.00 to 13:00). Venue: Site Méridien, rue du Méridien – Middaglijnstraat 100, 1210 Brussels. □ YES. □ NO.
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EHB YEARLY COORDINATORS’ MEETING Friday, 8 December 2017 from 12:00 to 17:00 Clinic Saint-Jean – Botanique Site Boulevard du Jardin Botanique 32 – 1000 Brussels (Belgium) Saint-Jean Meeting Room (7th floor)

PARTICIPATION FORM Name and surname: ___________________________________________________________ Institution: ___________________________________________________________________ Function: ____________________________________________________________________ City and country: ______________________________________________________________ Email address: ________________________________________________________________ I will attend the VISIT of the EHB premises (from 12.00 to 13:00) Venue: Site Méridien, rue du Méridien – Middaglijnstraat 100, 1210 Brussels □ YES □ NO I will attend the standing LUNCH (from 13:00 to 14:00) Venue: Site Botanique, Bvd du Jardin Botanique-Kruidtuinlaan 32, 1000 Brussels Lobby in front of the Saint-Jean meeting room □ YES □ NO I will attend the EHB COORDINATOR’S SYMPOSIUM (from 14:00 to 17:00) Venue: Site Botanique, Bvd du Jardin Botanique-Kruidtuinlaan 32, 1000 Brussels Saint-Jean meeting room □ YES □ NO

PLEASE FAX or EMAIL BACK TO EHB BEFORE 15/11/2015 Fax +32 2 225.94.52 Email: [email protected]

European Homograft Bank (EHB) Clinic Saint-Jean, site Méridien

Rue du Méridien 100 B-1210 Brussels

+32 2 225 94 51 [email protected]