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Registration exhibition

Please fill in this form or download the pdf-document.
(Print it out, fill it in and fax it to (+32)(0)11.874710 before 15 December 2009).

Personal information

Name:


Name:


Street:


Number:


Bus:


Zip code:


City:


Country:


Telephone:


Fax:


E-mail adress:


BAB membership number:





Bonsai for exhibition

Bonsai number 1

Species (in Latin):


Style:


Styled by:


Origin:


Pot information:


Height(cm):




Bonsai number 2

Species (in Latin):


Style:


Styled by:


Origin:


Pot information:


Height:




Bonsai number 3

Species (in Latin):


Style:


Styled by:


Origin:


Pot information:


Height:





Kifu (21-35cm) for exhibition

Kifu number 1

Species (in Latin):


Style:


Origin:


Pot information:


Height:




Kifu number 2

Species (in Latin):


Style:


Origin :


Pot information:


Height:




Kifu number 3

Species (in Latin):


Style:


Species:


Pot information:


Height:



Will be present at the dinner on Saturday 23 January 2010 with
  persons (50 euro each person).



Participation is free
Payment for dinner: on account number 735-0072791-29 of KBC on the name of
Clijsters Alda, Bonsai Association Belgium,
Veldstraat 9, 3950 Bocholt
with info:
your name – diner … pers

For payment from foreign countries without costs:
IBAN: BE26 7350 0727 9129
BIC: KREDBEBB
Your participation will only be reserved after payment for diner (at last on 15 December 2009).

For hotel reservation, mail to the secretary at secretaris@bonsaiassociation.be.