Magics UGM US registration

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Magics User Group Meeting US registration

If you register before April 19th	$195
If you register after April 19th	$250
Groups of 2 or more people	10% discount

First Name*:

Last Name*:

Organization/company*:

Address*:

Zip*:

City*:

State*:

Country*:

E-mail*:

Please print the registration form and send the filled out form together with your check to:

Jessica Sheriff

Materialise

6111 Jackson Rd.,

Suite 200

Ann Arbor MI 48103

United States

Amount - Please use comma as a seperator*:

Please send me an invoice:

yes
no

VAT number:

Registration is confirmed when payment is secured.

*mandatory fields