Registration in the Event is mandatory

Please return the document by fax or email +32 (0)4 254.18.16, office@eurasc.org

Deadline for reservation: October 1st , 2017

Name : .................................................................................................. Email: .................................................................................................... Tel : ................................................... Fax : ..........................................

Registration - EuRASc members:

40€ (which include documents; 2 lunches, and coffee breaks, taken on the terrace and lunches in the historical cloister);

Registration - EuRASc non-members:

80€ (which include documents; 2 lunches, and coffee breaks, taken on the terrace and lunches in the historical cloister);

NB: The registration will give you access to the two days of the event.

Banquet on the evening of 26th is optional, to register see information below please.

NB: your registration will be validated only after payment

Registration in the Banquet

October 26th, 2017 – 8.00 PM Cascais Cultural Center

CONVERSAS NA GANDARINHA Menu: 38 EUR / pp Reception:

Amuse-Bouche:

• Canapes of mayonnaise, egg and caviar • Canapes of Philadelphia, dill and smoked salmon • Toasted foie gras charcoal with candied purple onion • Mini chicken pot pie • Tartelettes of mayonnaise of tuna and caper • Brie and red fruits • Toasted goat cheese and currants

Drinks:

• Sparkling wine • White wine • Orange juice • Sangria of champagne with red fruits • Waters

Dinner: • Assorted buns, butter and seasoned olive oil • Tomato and basil soup • Salad of pata negra ham and buffalo mozarella • Roastbeef rolls with rucula, roasted pepper and caramelized purple onion

Dessert, fruit and cheese buffet: • Chocolate mousse cake • Meringue with cream and red fruits • Caramel Ice Cream • New York Cheesecake • Lemon and lime tart • Strawberries and cherries

• White and red Vila Real wines, water, soft drinks, teas and coffees are included

NB: Your registration will be validated only after payment Transportation for all registered at the banquet will be provided

PAYMENT

I attach proof of my bank transfer at no charges for the payee at the account:

IBAN: BE96 3631 5939 6605 BIC: BBRUBEBB Bank: ING: RUE MARNIX 24, 1000 BRUSSELS, BELGIUM Communication: Name - EURASC 2016, Social Dinner 18 Nov.

Payment VISA/MASTERCARD

Credit Card Number: …………………………………………………………………………………………………………….

Exp. Date: ………………………………………………………………………………………………………………………………

NB: - Your registration will be validated only after payment

- A receipt will be sent after payment* *If you need any additional information (VAT/NIF, or others) in your receipt please inform us:

Date Signature