2nd European Equine Health and Nutrition Congress

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							                 EEHNC PROCEEDINGS ORDER FORM
Please return this form to,
Secretary European Equine Health and Nutrition Congress: P/A European Equine Health and Nutrition
Congress, P/A Industriepark 11B, 9031 DRONGEN, Belgium or Fax: +32 (0)9 242 82 30 (Phone: +32
(0)9/242 82 25). E-mail: david.van.doorn@equine-congress.com

Procedure: The proceedings of the European Equine Health & Nutrition Congress are available as a
booklet. The proceedings booklet contains reviews of the invited speaker session and abstracts from the
Poster session. To order the proceedings, please fill in this form and fax or mail it to the secretary.
transport costs apply for all countries. We will inform you about the transport costs as soon we have
received a complete order form, as these costs are dependent on the delivery address. We will
send a pro forma invoice including costs for transport after receiving your order request.

    Surname                     ………………………………………………………………………………………….

    First name                  ………………………………………………………………………………………….

    Company/Institute           ………………………………………………………………………………………….

                                ………………………………………………………………………………………….
    (Include VAT No.)2
    Address                     ………………………………………………………………………………………….

                                ………………………………………………………………………………………….

                                ………………………………………………………………………………………….
    Country
                                ………………………………………………………………………………………….
    Telephone
                                ………………………………………………………………………………………….
    Fax
                                ………………………………………………………………………………………….
    E-mail1
                                ………………………………………………………………………………………….
2
    When relevant.

I would like to order the following proceedings:
                                          PRICE               AMOUNT                     Sub-Total
    Proceedings Booklet 2nd              SOLD OUT              SOLD OUT                       X
    EEHNC (2004)
    Proceedings Booklet 3rd                  20 €
    EEHNC (2006)                                             ………………..            …………...
    Proceedings Booklet 4th                  20 €
    EEHNC (2008)                                             ………………..            ….………..
    Proceedings Booklet 4th                  35 €
    EEHNC (2011)1                                            ………………..            ….………..
    Total:
                                                                                 ……………
    + 21.0 % VAT
                                                                                 ……………

    Total Fee (handling costs                                                    ……………
    excluded!!):
1
    5th EEHNC proceedings are available from May 1, 2011.

Payment
Payment can only be done by transfer to account: KBC BANK, Havenlaan 2B, Brussels, Belgium,
IBAN No.: BE94 7330 3102 8714 (Swift code:KREDBEBB) on behalf of the “European Equine
Health and Nutrition Association" (VAT No. BE0879182462). / IBAN No.: BE94 7330 3102 8714
(Swift code: KREDBEBB). Payments should include name followed by “Proceedings EEHNC” as a
reference. The proceedings will be mailed after receiving payment!

Signature and date,

						
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