Partner Forum 2017 · Belden Solutions NV

General

First Time/Update

This is the FIRST TIME that you fill out this registration form.This is an UPDATE. You filled out this registration form before. Please fill out your name and your e-mail address only + the information that has changed.

Title

Mr.Ms.

Last Name

First Name

Company

Country

Telephone

Cellphone

E-Mail

Your Birthday: Day

Your Birthday: Month

Please upload your picture for the participants list

Are you a vegetarian?

YesNo

Other Food Requirements?

Which sessions do you plan on attending?

Monday Feb. 13 | 9h00-16h00 | Training: OTN Systems Portfolio Introduction – OTN + XTranMonday Feb. 13 | 9h00-16h00 | Training: OTN Systems Portfolio Introduction – XTranMonday Feb. 13 | 19h00 | Opening DinnerTuesday Feb. 14 | 9h00-17h00 | Partner Forum Day 1 in the Hilton Antwerp Old Town hotelTuesday Feb. 14 | 18h45 | Dinner in AntwerpWednesday Feb. 15 | 9h00-17h00 | Partner Forum Day 2 in OTN Systems HQ, OlenWednesday Feb. 15 | 19h00 | Dinner in Antwerp with your OTN Systems Sales Manager (free evening).

Which FREE training courses do you plan on attending?

The courses will be organized in OTN Systems HQ, Olen. Transportation from Antwerp to Olen will be provided.

Management sessions on request

The OTN Systems Partner Forum agenda will offer outstanding opportunities for networking and meeting the OTN Systems’ Executive Management. In case you have specific topics, we will set up a 1:1 meeting. Please specify:

You will meet the Executive Management during the networking breaks and do not require a 1:1 session time slot.You have specific topics you would like to discuss with the OTN Systems’ Executive Management. Please set up a 1:1 meeting for a face-to-face discussion.

Which topics would you like to discuss?

CommercialProductServices

Please Specify:

What is your main sector?

Transportation (metro, lightrail, monorail, rail, airport, motorways)Oil & Gas / Mining / Public Safety & Security / IndustryPower Utilities

Spouse program

Accompanying spouses are welcome to attend our Spouse Program. Will your spouse be travelling with you?

YesNo

Your spouse’s name

Your spouse will join:

the opening dinner on Monday February 13ththe dinner on Tuesday February 14ththe spouse program on Tuesday February 14ththe spouse program on Wednesday February 15th

Your travel details

You Travel

By plane (from the airport to the hotel by taxi will take approx. 45 minutes)By Car. For your information: price of public parking next to the Hilton is 19.90 €/day.By Train

Arrival Date

Arrival Time

Departure Date

Departure Time

Travel Remarks

Hotel room

Yes, you will book your room in the Hilton Antwerp Old Town Hotel via the hyperlink mentioned in the Partner Forum invitation e-mail.No, you will not need a hotel room in the Hilton Antwerp Old Town Hotel.

Remarks

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CONTACT

All networks carry information. Some networks carry it exactly the way you want.

All networks carry information.
Some networks carry it exactly the way you want.