Registration for Mass Media/Регистрация СМИ/Inscription des MÉDIAS

on International Forum-Exhibition in France, Strasbourg, 3-4 November 2018
Email address *
Name/Имя/Nom *
Your answer
Surname/Фамилия/Nom de famille *
Your answer
Position/Позиция/ *
Your answer
Equipment/Оборудование/Matériel *
for media reporters/для журналистов СМИ
Your answer
Sex/Пол/Sexe *
Country of residence/Страна проживания/Pays de résidence *
Your answer
Mass Media name/Название СМИ/Le nom des MÉDIAS *
Your answer
Type of Mass Media (organization)/Тип СМИ (организация)/Type de MÉDIAS (organisation) *
Your answer
Head office country/Страна головного офиса/Pays de bureau principal *
Your answer
Corporate website/Корпоративный сайт/Site d'entreprise *
Your answer
Contact phone/Контактный телефон/Numéro de téléphone *
Your answer
Additional information/Дополнительная информация/Information supplémentaire
Country/Страна/Pays
Your answer
City/Город/Ville
Your answer
The program name on TV or .../Название программы по TV или ..,/Le nom du programme sur la TV ou ....
Your answer
Post Address of the Mass Media (organization)/Почтовый адрес СМИ (организации)/Adresse postale MÉDIAS (organisation)
Your answer
Fax/Факс
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service