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Formulaire d'inscription I Registration form : Ceramic Art Andenne 2025
Formulaire de contact / Contact File
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* Indicates required question
NOM / FAMILY NAME
*
Your answer
Prénom / Fist name
*
Your answer
Nom d'artiste / Artist name
Your answer
Adresse complète / Full address (Rue/street - n° - code postale/ Zip code - ville/city - Pays/country)
*
Your answer
Nationalité / Nationality (sera reprise près de votre nom / it will appear next to your name)
*
Your answer
Date de naissance / of birth
*
MM
/
DD
/
YYYY
Tél - mobile (+ préfixe)
*
Your answer
E-mail
*
Your answer
Site web / Website
Your answer
J'ai un compte INSTAGRAM voici le lien / I have a Instagram Account, here you have the link :
Your answer
J'ai un compte FACEBOOK voici le lien / I have a Facebook Account, here you have the link :
Your answer
Langue de contact
*
Français / French
Anglais / English
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