Test - Club van 100 - Registration form NON members

Firstname*

Familiy name*

Company

Position

Mobile

E-mail*

Postal address*

Zip-code*

City*

Has received an invitation via [name, company] who is a member of the Club of 100*

Yes No, but would like to join

Name*

Company*

Will participate in Highlight the future from 15:30 hrs*

Yes No

Wageningen University and Research does not like wasting food, therefore we would like to know if you are joining us for dinner. In case of a no-show for this meeting, you will be charged €50,- for the footprint you leave behind.

Will stay for dinner*

Yes No

Dietary needs

Privacy*

I agree with the use of my personal data for the purpose detailed above. The privacy statement of WUR applies to this use of your personal data.

Read the privacy statement