Invoice address
The fields marked with * must be completed

*Title	Mrs Mr
*Surname		*First name
*Organisation
*Address
*Post code		*City
*Country
*Tel		Fax
*eMail

 Cheque (made out to Europolitics)
 Bank transfer to account ING 310-0832811-55
You can also download the subscription form, and send it to us by fax or e-mailClick here
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To register your order, please make sure you have filled in the form completely before clicking the submit button to confirm your order. Application for a subscription involves full acceptance of teh general sales conditions.
Subscriptions not cancelled in writing at least one month before expiry will be automatically renewed. To keep you informed of future events, your details will be kept on file of EIS, 53 Rue d’Arlon, B-1040 Brussels. You are legally entitled to access and correct these data and consult the public register kept by the Belgian Privacy Commission.

Merci de recopier ci-dessous le code de sécurité :