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PCCA 2023 Conference Registration Form
PCCA e.V.A. charity registered in Germany, Amtsgericht Charlottenburg, No. VR 27026 B, http://p-cca.org/
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Frist Name
*
Your answer
Family Name
*
Your answer
Country of Residence
*
Your answer
Nationality/ies
*
Your answer
Age
*
Your answer
Gender
*
Your answer
Other identities
Your answer
Occupation
*
Your answer
Preferred Email
*
Your answer
Mobile Phone
*
Your answer
Home Address
*
Your answer
Have you participated in a PCCA event / conference before
*
This is my first attendance at a PCCA Event
I have participated in a PCCA event/conference in the past
Required
Previous Group Relations experience
*
I have not participated in a group relations conference before
I have participated in a full group relations conference
I have participated in more than one group relations conference
Required
If yes, please fill in details of the event / conference
Your answer
How did you hear about the event?
*
PCCA website
PCCA mailing list
Email from another mailing list (OPUS, OFEK, ISPSO, IPA, IPS, etc.)
My professional organisation/society
Social Media
From a previous participant in a PCCA event
From a colleague or friend
Other
Required
Event Fees
*
I will pay the early price full fee of € 320 until 20 September 2023
I will pay the full fee of € 400 from ( 21 September until 13 October 2023)
I am elegible for the reduced fee of € 100 as Student
I would like to apply for a partial scholarship
Other:
Additional comments/request
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Once you have submitted this form a confirmation screen will open with a link for payment
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