PACSA registration form
Complete this form to register for the PACSA event. The fee is €60 and includes the reception, conference dinner and coffee breaks. It is €12 extra for those wanting to take the tour (see below).
* Required
Firstname
*
Your answer
Lastname
*
Your answer
Institution
*
Your answer
Email address
*
Your answer
Dietary requirements (if any)
Vegetarian
Vegan
Gluten-free
Dairy-free
Nut-free
Other:
Accessibility requirements (wheelchair, etc)
Your answer
Would you like to join the optional Belfast Guided Walking Tour “The Troubles”, taking place at 2-4pm on 5th October, costing €12?
*
Yes
No
Submit
Never submit passwords through Google Forms.
This form was created inside of NomadIT.
Report Abuse
Forms
