Disruptive Conversations Registration
Please complete this form then proceed to the payment page linked in the last section.
Registration is not complete without payment.
Email address *
Name *
Your answer
Name you would like to have on your name tag
Your answer
The full name of the school you work at *
Your answer
City & country you work in *
Your answer
If you are attending the pre conference workshop - which workshop would you like to attend in the morning?
If you are attending the pre conference workshop - which workshop would you like to attend in the afternoon?
If you have specific dietary needs please indicate below
Would you like to attend the conference dinner on Friday evening? (details to be advised).
Would you be interested in a short tour of a place of interest in Bucharest before or after the conference?
If your school needs an invoice before payment can be made, please indicate below with the contact name and email address the invoice needs to be sent to.
Your answer
If you do not need an invoice before payment - please go to payment page http://bit.ly/Bucharestpayment after submitting this form.
Your answer
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