REGISTRATION FORM

BILLING WORKSHOP
Telco Billing Strategies for the IMS
hosted by ETIS, Brussels, Belgium, 17/18 April 2008
* Please note that the fields with the red stars are mandatory fields.
Participant's details
 Last name: *
 First name: *
 Company: *
 Mailing address: *
 Zip code: *
 City & country: *
 Telephone: *
 E-mail address: *
Conference fee
 Payment: The full participation fee should be paid at the time of registration.
 Cancellation policy: Your participation may not be possible due to unforeseen circumstances. We would be pleased to welcome a deputy or colleague to take your place. However, if you are forced to cancel without substituting, we will be unable to make a refund.
 ETIS Members: Free for ETIS Members, Speakers & Sponsors
 Non-Members: (early birds!!!) € 600 + 21%VAT - valid until 10 March 2008
 Non-Members: € 900 + 21%VAT
 Invoicing address for non members:
 VAT Number:
Payment details will be sent out together with the invoice
Venue and Hotel Details
 Venue: Management Centre Europe
Rue de l’Aqueduc 118, 1050 Brussels
 Dates: 17-18 April 2008 - Brussels, Belgium
 Hotel:

Hotel Capital, 191 Chausée de Vleurgat, 1050 Brussels. 120 euro per night, breakfast included. If you want to make your hotel reservation at the Hotel Capital, please contact them at info@hotelcapital.be or call +32 (0)2 646.64.20120 and mention ETIS code.

Hotel Bristol Stephanie, 91-93 avenue Louise, 1050 Brussels. 180 euro per night (+27 euro for american breakfast). If you want to make your hotel reservation at the Bristol Stephanie Hotel, please download the following Bristol Hotel reservation form and fax it directly to them

Travel details
 Date and time of Arrival:
 Date and time of Departure:
Billing Workshop and Social Events
Please indicate your participation in the following events by checking the box for yes:
 Billing workshop Day 1 - 17 April
 Workshop Reception on 17 April
(Dress Code: Business casual)
 Billing workshop Day 2 - 18 April