JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Envie de contribuer à une nouvelle dynamique pour Barcelonnette ?
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Nom
Your answer
Prénom
Your answer
Téléphone
Your answer
Centres d’intérêt (culture, sport, jeunesse, économie, seniors, logement…)
Your answer
Niveau d’implication souhaité :
*
Je veux juste être informé
Je veux aider ponctuellement (réunions, actions terrain)
Je réfléchis à candidater sur la liste
Other:
Commentaires / idées
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
