Clean up the MED 2019
Email address *
JOIN THE CAMPAIGN
Organization / Organisation *
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Person of reference / Personne de référence *
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Please indicate an address active on working days where you wish to receive the Clean-up the Med 2019 brochures in office hours/ Pour recevoir le materiel, veuillez indiquer une adresse ouverte aux heures de bureau
Address / Adresse *
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Postal Code / Code postal *
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City / Ville *
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Country / Pays *
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Name of responsible for the actions / Nom du responsable pour l'initiative *
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Phone *
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Email *
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My organization will participate at the monitoring of the Beach Litter / Mon organisation participera au monitorage de Déchets Marins *
Beach Clean-up / Nettoyage de plage
Place / Lieu *
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Date / Date *
MM
/
DD
/
YYYY
Planned activities / Activités prévues *
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Where to find other information about the event (website, email address...other...) / Où trouver d'autres informations sur l'événement (site web, adresse email ... autre ...)
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Other activities / Autres activités
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