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Registration Form Family Day Centric Belgium

 

Please fill in all the fields below:

 

Your name:		*
Name of your partner:		*
Number of children smaller then 85 cm:		*
Number of children between 85 cm and 1 m tall:		*
Number of children taller than 1 m.:		*
Will also attend to the evening party:	Yes No	*
Will not attend to the Family Day:	Will not attend

 

Centric IT Professionals
Posthofbrug 12, bus 3
B-2600 Berchem
[t] + 32 (0)3 222 99 50
[f] + 32 (0)3 222 99 59

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