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Registration
Form
Grand Chapître Centraal-Nederland
June 7-9th
, 2024
Name participant Chaîne Degree
Home address
Phone number e-mail
address
Medically indicated
Dietary restrictions
Name participant 2
Home address
Phone number e-mail
address
Medically indicated
Dietary restrictions
Price per
person €
Number
participants
Total
amount
in €
Registration fee € 40
Friday June 7th
Dinner Amical Zout & Citroen* € 170
Saturday June 8th
Visit ’s-Hertogenbosch, including Lunch
Hotel Central
€ 125
Induction ceremony 0
Gala Dinner De Ruwenberg € 180
Sunday June 9th
Visit to castle Amerongen, Tabaksteelt
museum in Amerongen and Farewell Lunch
Voltaire*, Parc Broekhuizen, Leersum
€ 180
Grand total €
Signature
Please send registration form to info@chaine.nl.
Upon receipt of the form, you will receive an invoice for the total amount. Total amount to be
transferred, not later than May 1st, to:
Account:NL11 ABNA 0527 3244 69 Name of: Chaîne des Rôtisseurs
BIC code: ABNANL2A. Please mention name of participant with payment.
Cancellation after May 1st
: Registration fee of EUR 40,-- p.p. will not be refunded.
Cancellation after May 20th
: 100% charge will be applied.
X
X
X
+X X
X
X
+X X
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Grand Chapitre 2024 Netherlands: Central-Nederland Event Registration

  • 1. Registration Form Grand Chapître Centraal-Nederland June 7-9th , 2024 Name participant Chaîne Degree Home address Phone number e-mail address Medically indicated Dietary restrictions Name participant 2 Home address Phone number e-mail address Medically indicated Dietary restrictions Price per person € Number participants Total amount in € Registration fee € 40 Friday June 7th Dinner Amical Zout & Citroen* € 170 Saturday June 8th Visit ’s-Hertogenbosch, including Lunch Hotel Central € 125 Induction ceremony 0 Gala Dinner De Ruwenberg € 180 Sunday June 9th Visit to castle Amerongen, Tabaksteelt museum in Amerongen and Farewell Lunch Voltaire*, Parc Broekhuizen, Leersum € 180 Grand total € Signature Please send registration form to info@chaine.nl. Upon receipt of the form, you will receive an invoice for the total amount. Total amount to be transferred, not later than May 1st, to: Account:NL11 ABNA 0527 3244 69 Name of: Chaîne des Rôtisseurs BIC code: ABNANL2A. Please mention name of participant with payment. Cancellation after May 1st : Registration fee of EUR 40,-- p.p. will not be refunded. Cancellation after May 20th : 100% charge will be applied. X X X +X X X X +X X X 0