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Bulletin d'inscription au GAD / GAD Inscription Form
Nom / Name *
Your answer
Prénom / First Name *
Your answer
Ambassade de, ou DFAE / Embassy of or FDFA *
Your answer
Adresse Rue No. / Address Street No. *
Your answer
Code Postal - Ville / Postal Code - City *
Your answer
Téléphone / Phone *
Your answer
Portable / Cellphone *
Your answer
Courriel / E-Mail *
Your answer
Langue(s) préférée(s) / Language(s) preferred *
Required
J'autorise la mise à disposition de mes coordonnées auprès des membres du GAD. / I authorize the provision of my coordinates to the GAD's members. *
Required
J'autorise le GAD à utiliser et diffuser dans son site web des photos d'activités dont j'apparais. / I authorize the GAD to use and display in its website photos of activities that I appear. *
Required
Commentaires - Commentaries
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