REMA/AEC Conference in The Hague, Netherlands, 22-24 March 2017
Name of the organisation/Nom de la structure *
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Name of the participant/Nom du participant *
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Email *
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Mobile phone (will only be used if we need to contact you during the conference) - Numéro de téléphone portable (ne sera utilisé que si nous avons besoin de vous joindre durant la conférence) *
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Will be present/Sera présent
Would you like to make a short presentation of a project (max. 5 min)? If yes, please indicate the title. / Souhaitez-vous faire une courte présentation d'un projet (max. 5 min)? Si oui, merci d'en indiquer le titre.
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On which day do you arrive? Quel jour arrivez-vous?
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DD
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YYYY
On which day do you leave? Quel jour partez-vous?
MM
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DD
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YYYY
Do you have any special requirements concerning the meals ? - Avez-vous des indications particulières concernant les repas ?
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Will you be accompanied by a person who is not member of REMA? / Serez-vous accompagné/e d'une personne non-membre du REMA?
If yes, please indicate the name of the person and the concerts and meals he/she would like to attend (at own cost). Si oui, merci d'indiquer le nom de la personne ainsi que les repas et concerts auxquels celle-ci souhaite participer (à ses propres frais).
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