FORM for booking to "la foire radioamateur de La Louvière 2017"

Table recervation for Fleamarket and Professionals.

Fill this document and click 'SEND' to transfer automatically your reservation to organisators.

Fleamarket 6 Euros;/m.          Professionnals 15 Euros;/m. up to 10m and 13 Euros;/m over 10m.

You'll receive an Email with the price to pay by bank money transfer or Paypal.

Entrance wristbands will be send by postmail. Do not forget to fill your address !

Thanks from l'équipe ON6LL, Foire Radioamateur de La Louvière.

Your Name :             Your first name :

Your Call (If you have one) or Compagny name:

Your VAT number if you are a compagny:

E-mail:              One time more your E-mail:

Street :      Number :

ZIP Code :       City:

Land:

-

Type Pro/Fleamarket:

Tabel lentgh in meter : minimum 2m

Number of Wristbands : 8€/personne but it's free for women and litlle children, written it in remarks

Remarks: (expand this space if need)