Registration form Party with workshops 40 years of USOS

Saturday 29 November at Hof Van Liere

You can choose to register for the whole event or for parts of it and will have the opportunity to purchase the USOS book Caring for our Common Home. The form will add up the amounts and ask you to make the payment at the end. These are all subsidised amounts.

First name *

Surname *

Email address *

I am *

an employee, alumnus or external interested party

a student at the University of Antwerp

I will purchase the USOS book Caring for our Common Home and collect my copy during the event (at the reduced price of €30 instead of €42, while stocks last)

I am interested in becoming a member of Friends of USOS, a new group that takes a strategic look at additional commitments to solidarity with the Global South. Meetings are held twice a year on the City Campus on one evening per week.

Total amount €

Payment is possible via the online platform MultiSafepay.
All bank charges are payable by the participant.

To complete your payment online, click on “Submit” at the bottom of this form. You will then be taken to a confirmation screen with a link to “MultiSafePay”. You can make a secure online payment via this link.
(Agree to the terms and conditions of sale, then click on the link in the confirmation screen to pay).

Please note that this payment must be made immediately after clicking on the payment button. The link to the online payment platform will only be provided once.
If you click through to the payment platform but do not pay immediately, you will receive a reminder email after 1 hour and after 24 hours to complete the payment.
Once the payment has been completed, you will receive a payment confirmation via email.

Submit

Janus Verrelst janus.verrelst@uantwerpen.be collects this personal data for the organisation of the USOS celebration. Under no circumstances will this data be passed on to third parties. This data will be kept until after the event. If you wish to view, restrict, change or delete your personal data, please contact the above address. More information about our privacy policy: www.uantwerpen.be/disclaimer.