2020 EFAT Conference REGISTRATION FORM
"Places, Spaces and Time - Shaping the European Art Therapy Landscape"
Thursday 30th April - Saturday 2nd May, 2020
Art Academy of Latvia / Kalpaka boulevard 13 / Riga, LV-1050
Email address *
Name
as you want it to appear on your badge / name tag !
Last name (family name) *
Your answer
First name(s) *
Your answer
Title *
which you would like to appear on your conference name tag
Address
of your MAIN residence (where you actually live and work)
Street and house number *
Your answer
Postal Code *
Your answer
Town *
Your answer
Country *
Your answer
Phone number with country code! *
> Preferably your mobile phone number, ALL NUMBERS ATTACHED. Example: 00352621519695
Your answer
Is your private address also your billing address? *
Next
Never submit passwords through Google Forms.
This form was created inside of Weebly Email Service. Report Abuse