YOUTH PROGRAM - COURSE POLITICAL LEADERSHIP IN TIMES OF CHANGE
STUDENT ENROLLMENT.  The registration period is open from March 18th to April 18th.
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REGISTRATION FORM
PARTICIPANT INFORMATION
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NAME *
SURNAME *
CONTACT EMAIL
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DATE OF BIRTH *
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DD
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YYYY
AGE
*
CONTINENT *
COUNTRY *
OCCUPATION
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DO YOU WORK FOR LIFE, FAMILY AND LIBERTIES AS A MEMBER OF AN ORGANIZATION OR INSTITUTION? *
NAME OF ORGANIZATION OR INSTITUTION
POSITION
CONTACT MOBILE (W'APP, TELEGRAM)
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SOCIAL NETWORKS YOU USE (YOU CAN CHECK SEVERAL OPTIONS) *
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TWITTER PROFILE
INSTAGRAM PROFILE
FACEBOOK PROFILE
YOUTUBE PROFILE
TIK TOK PROFILE
OTHER SOCIAL NETWORKS
HAVE YOU RECEIVED THIS PERSONAL INVITATION, DIRECTLY FROM POLITICAL NETWORK FOR VALUES? *
IF  "NO"
Please tell us who sent you this invitation
FORMALIZE YOUR REGISTRATION BY CREDIT CARD:  HERE

FORMALIZE YOUR REGISTRATION BY BANK TRANSFER:

IF PAYING IN EUROS: CAIXABANK. C/. Poeta Joan Maragall 44

28020 Madrid

IBAN: ES35 2100 2120 8602 0077 4502

CÓDIGO SWIFT: CAIX ES BB XXX

IF PAYING IN DOLARS:  BANK OF AMERICA. 5019 Preston Road, Frisco, TX 75034

Account # 004647970353

Wire Transfers Routing # 026009593

Concept: Name of candidate.  PNfV Political Leadership (do not put any other text)

Amount: 200€

Recipient: Political Network for Values

Once the transfer has been made, please send us your receipt to office@politicalnetworkforvalues.org and we will send you a confirmation of your registration to the course.
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