The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

Contest : Créativa Bruxelles 2017
Answer the following question and try to win an invitation to attend the 2017 Créativa Bruxelles show.

Please complete the following questionnaire. This data will ONLY be used to select winners. Winners will be contacted by email.

10 winners will be chosen by lucky draw among the correct answers.

This contest is from February 17th, 2017 to February 26th, 2017.

You can read the rules of this contest here:

All the details in this article:

What is the theme of the 2017 "Créativa Bruxelles" show?
Your answer
Contact Information
In order to contact you, please fill in the following cells.
These data will only be used for this contest.
Your answer
First Name
Your answer
Email address
Your answer
Your answer
Your answer
Do you want to receive our weekly newsletters ? (Newsletters include: free activities, special offers, shows and more!)
By checking here, You, the Contestant, have affirmatively reviewed, accepted, and agreed to all of the Official Rules of the contest "Créativa Bruxelles 2017"
French Information Technology and Freedom of Information Act
According to the French Information Technology and Freedom of Information Act :
You have a right of access, modification, correction and deletion of data (Information
Technology and Freedom of Information Act, January 6th 1978) by sending a letter with a
proof of your identity to :
Quiltmania Editions
Contest «Créativa Bruxelles 2017 »
Service Communication
4 Impasse Marius Berliet
44360 Vigneux-de-Bretagne
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms