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

Registration deadline:
4th of March 2019

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 *

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Lastname *

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Affiliation, Organisation *

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Function, Position *

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Email address *

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Dietary restrictions *

No dietary restrictions

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Please list any food allergies / restrictions you have:

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Do you have an EP accreditation to access the European Parliament? *

Yes (you don't have to answer the second part of the form)

No (please, fill in the second part of the form to get access to the European Parliament)

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