Formulaire d’enregistrement pour la conférence

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Conference registration form

*Obligatoire

* Indicates required question

Prénom / First Name *

Your answer

Nom de famille / Last name *

Your answer

Email / Courriel *

Your answer

Téléphone / Phone *

Your answer

Occupation *

Your answer

Employeur / Employer *

Your answer

Membre des médias? / Member of the media?

Yes

Commentaires ou questions / Comments or questions

Your answer

Submit

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