Organisation

Reservation-form E.J.J.2004

Name:

Address:

City:

Country:

Zip-code:

Phone.:

E-mail:

Model Jeep

Licence-number

Built in year:

Signature : ________________  Date: ____________

Send this reservation-form to us. Participation is only possible when the full registration-fee is paid.

Our address in Belgium: 

Tel.: +32(0) 475866915
E-mail: secretariaat@jeepersjamboree.org
Kredietbank Mortsel (België)
Rekeningnummer: 407-4466911-50
KvKnr. Arnhem: 41050634 NL

Foundation European Jeepers Jamboree®
Meidoorn 1 /4
2640 Mortsel België

Ons adres:

Tel./Fax: +32(0) 34480588
E-mail: info@jeepersjamboree.org
Banknummer: 68.80.27.652
Gironummer van de bank 82.63.19
ING-bank te Velp

Stichting European Jeepers Jamboree®
Postbus 9
6880 AA
Velp
The Netherlands