Registration form the People in Diaconia Network meeting: 9 - 10 April 2013,  Brussels
This meeting is for members (and members of members) only. If you would like to request financial support for your travel and/or accommodation, please read the reimbursement rules beforehand.
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First name *
Surname *
Organisation *
E-mail address *
Business (mobile) phone number *
Country *
Please give a short biography of yourself including your job title and areas of interest related to the event and/or your work
Send us a photo of yourself by e-mail to: catherine.mallet@eurodiaconia.org. This will be used for the participation list. If you have already sent us your bio, you can leave this space blank
Date and time of arrival
Date and time of departure
If you follow a special diet, please specify what your dietary restrictions are
Do you need Eurodiaconia to cover (part of) your travel costs?
Please read the reimbursement rules to see if you are eligible to financial support and please note that no travel documents should be purchased before you have received a confirmation from the Secretariat.
If yes, please specify the amount
Please note that only members from Eastern and Central Europe or a Diaconia from a minority Church can request financial support and that no travel documents should be purchased before you have received a confirmation from the Secretariat.
Do you need Eurodiaconia to book your accommodation?
Please note that only members from Eastern and Central Europe or a minority Church can request financial support for accommodation and that we will only cover nights during the event.
Clear selection
Can we put your information on our participation list? *
We send out participation lists to all the participants of the event to facilitate networking
Can we use your info for our database? *
Your data will not be given to third parties
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