Media member application form.

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30-31 May Landau School Zabitler

Full name *

Contact number *

Emergency contact number *

Email address *

Date of birth *

Name of your educational institution *

Mention your previous Delegate experiences/awards (For example: Leznik & Co. vol1 - Best media)

What is your motivation for being a media in our conference? *

Do you have a professional camera ? *

YES

Please specify your camera or phone model. *

Do you have any dietary restrictions? *

YES

If yes, name them in the blank below please. *

I confirm that I pay 65 azn non-refundable fee for participation on both days *

YES

Submit

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