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Les Anciens Registration Form for Agora Chisinau 2016
AEGEE Autumn Agora Chisinau 2016

Honorary members of AEGEE-Europe are requested to apply as AEGEE-Gold. Participation is granted via the CIA

More information about this Agora you can find at:
https://www.zeus.aegee.org/statutory/ag1610/
http://www.agora.aegeechisinau.org/
https://www.facebook.com/AutumnAgoraChisinau/

questions? coordinator @ anciens . org

1. First name
Your answer
2. Family name
Your answer
3. Are you an alumnus of AEGEE
4. Date of birth
MM
/
DD
/
YYYY
5. Gender
6. Emailadress
Your answer
7. Visa invitation needed
In case you need a visa invitation, the organisers will contact you
8. Size of your official T-shirt
This is not a guarantee that you will obtain one
9. Desired meals
10. Member type
11. Amount of Agorae you visited
Your answer
12. Date of arrival
MM
/
DD
/
YYYY
13. I want to attend the official programme
AEGEE-Chisinau has a alumnue offer: attending Friday afternoon, Saturday (including lunch, agora and parties) for € 25,- Post-event and accomodation arrangement are still to be arranged depending on amount of alumnae participating.
Required
14. Date of departure
MM
/
DD
/
YYYY
15. I would like to be subscribed to Agora-L
16. Have you been active on European Level?
Your answer
17. Are you willing to contribute with your experience to this Agora, e.g. in a workshop?
Your answer
18. Are you willing to organise a social programme with other alumnae visiting Chişinău?
Your answer
19. Privacy Statement
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