12th ASECAP Road Safety Dinner- Debate Why should we be all involved to save lives? Registration form
Event Timing:
Monday 18th of March 2019
From 18:00 to 21:00

Event Address:
Members' Lounge Salon
European Parliament
Rue Belliard 137, 1040, Brussel

Contact us :
r.conti@asecap.com
0032 (0)2 289 26 20

Registration deadline:
4th of March 2019

You can find the Conference programme on our website: http://www.asecap.com/images/News/PDF/12th-ASECAP-Road-Safety-Conference-2019--Programme_V.8.pdf

If you wish to send your personnal information directly to the ASECAP Secretariat, you will find the registration form on the ASECAP corporate website (http://asecap.com/eventasecap.html?layout=edit&id=167).

Please, send the form duly filled in to Ms Romina Conti (r.conti@asecap.com)

Salutation
Firstname *
Your answer
Lastname *
Your answer
Affiliation, Organisation *
Your answer
Function, Position *
Your answer
Email address *
Your answer
Dietary restrictions *
Required
Please list any food allergies / restrictions you have:
Your answer
Do you have an EP accreditation to access the European Parliament? *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service