REaction 1401 - Subscription form


REaction 1401 / 1402 - workshop series
PARIS, 14th - 16th MARS 2013
@ SUPERBELLEVILLE Coworking

http://www.superbelleville.org/reaction2014/
Sign in to Google to save your progress. Learn more
Company
Are you a professional ? If yes, put here the name of your company
Are you a student?
If yes, you can register with educational fee. Only answer "Yes" if you can provide a proof of status.
First Name *
Last Name *
TEL.
EMAIL *
Adress *
Invoicing Adress
Only if different from the previous one
REG NO.
(If applicable)
TAX NO.
(If applicable)
Do you need an invoice?
IMPORTANT INFORMATION TO BE READ BEFORE SUBMITTING YOUR REGISTRATION
1) SUPERBELLEVILLE WILL NOT OFFER ANY REFUND IN CASE THE PARTICIPANT CANNOT ATTEND.

2) IN CASE THE WORKSHOP IS CANCELLED THE STUDENT WILL GET A FULL REFUND OF THE FEE. SUPERBELLEVILLE WILL NOT OFFER ANY REFUND OTHER THAN THE REGISTRATION FEE (FLYING TICKETS, HOTELS, ETC...).

2) THE WORKSHOP WILL BE HELD IN ENGLISH.

3) THE ORGANIZATION TEAM IS NOT RESPONSIBLE FOR ANY ISSUE LINKED TO THE PARTICIPANT OR TO SOFTWARE OR HARDWARE IN GENERAL.

4) THE DATA YOU PROVIDE WILL NOT BE SHARED WITH ANYBODY.

After having submitted this form, you will shortly receive the payment instructions. One we receive your payment, we will send you an email to confirm your registration.

If you have any question, please contact Francesco Cingolani at superbelleville@gmail.com
Do you accept the conditions above ? *
Required
Do you want us to take care of your lunch?
Select the day(s) below. Superbelleville takes care of your health and there's almost no restaurant around during the week-end :) Lunch is 15 € per day and it is not included in the workshop fees.
Where did you hear about REaction workshop?
Clear selection
Would you like to receive informations about other activities of Superbelleville Coworking? *
We can keep you updated about our open drinks, lectures, workshops, etc...
Comments and questions
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms