JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
REGISTRATION FORM
Sign in to Google
to save your progress.
Learn more
* Required
5th INTBAU International Annual Event / Heritage, Place, Design: Putting Tradition into Practice
5-6 July 2017
Scuola del Design, Dipartimento di Design - Politecnico di Milano
Milano
Personal Info
Name
*
Your answer
Surname
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Place of Birth
*
Your answer
Address
*
Your answer
Town
*
Your answer
Post Code
*
Your answer
Country
*
Your answer
Email
*
Your answer
Mobile Phone
*
Your answer
Affiliation
*
(University / Department or Company / Firm or Other)
Your answer
Qualification
*
(Professor / Ph.D. / Ph.D. Student / Student / Designer / Supporter / Other)
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
