Access Angels Conference Registration Form
ACCESS ANGELS Conference.

Friday 21st September 2018, from 10.00 to 13.15.
Venue: BTC Conference centre, "Espace Jacqmotte", Rue Haute 139, 1000 Brussels
Contact: iwona.pietrzak@syntea.pl

Project Website: http://accessangelsproject.eu/

Please note that all costs related to travel and accommodation are the responsibility of the participant.

*** In the event of cancellation - please inform the Project Coordinator on or before 19th September ***

All participants, please fill in one form, thank you!
Deadline for Registration is Monday 17th September 2018.
First Name *
Your answer
Last Name *
Your answer
Title or Position (Mr, Ms, Director, etc.) *
Your answer
Organisation (if any)
Your answer
Email *
Your answer
Telephone
Your answer
Address first line *
Your answer
Address second line
Your answer
Town/City *
Your answer
Post Code *
Your answer
Country *
Your answer
Will you be accompanied by another person? (If yes, please ask them to fill in a Registration Form) *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service