Registration Form - CERPs International
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Email address
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Your email
Name
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Your answer
Family Name
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Your answer
Please, specify if you are an ELACTA member. We will verify this information.
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If you are not sure, contact your country association. If you want to join ELACTA as an individual member:
https://www.elacta.eu/become-a-member/
Yes, through my country association
Yes, I am an individual member
No
If you are ELACTA member through your country association, tell us which association it is:
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Are you an IBCLC?
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Yes
No
What is your IBCLC number? We will verify this information.
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This information is required for the CERPs certificate, please, do NOT forget it. If you are not an IBCLC just write "NO".
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In which category do you apply? (if you don't know it means you are a "Registrant")
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Registrant (=none of the below categories)
Speaker
Elacta Board member
Member association's president
Magazine's editorial team
Partner
CERPs International organization team
Facebook Contest winner
Have you read and agree to the ELACTA's privacy policy?
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https://www.elacta.eu/deutsch-gdpr/
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Do you agree to be contacted about future events and activities by ELACTA?
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A copy of your responses will be emailed to the address you provided.
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