Registration for the conference “Reducing Energy Poverty by Energy Efficiency Projects in Residential Buildings: The Case for Eastern Europe”

A conference organized by Habitat for Humanity International with the support of USAID

The Conference will take place on 24-25 April 2017 in Brussels, co-hosted by Tamas Meszerics and Benedek Jávor, MEPs, Group of the Greens/European Free Alliance.

Registration is open until April, 14th.

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* 1. Your name and e-mail address:

First name:

Middle name:

Last name:

E-mail:

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* 2. Your nationality:

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* 3. Your date of birth:

Date (DAY/MONTH/YEAR)

Date

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* 4. Type of ID

Passport

ID Card

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* 5. ID/Passport number:

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* 6. Do you have any disabilities?

Yes

If yes (please specify)

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* 7. On what day will you attend the conference?

24 April

25 April

Both days

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* 8. Will you attend the dinner reception on Monday, 24 April?

Yes

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* 9. Will you attend the lunch reception on Tuesday, 25 April?

Yes

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* 10. Organization:

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* 11. Position:

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* 12. Special field of interest:

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* 13. Dietary restrictions or preferences:

Thank you for the interest in our conference! Please, note that we have capacity to host 100 people. We will contact you in two days to confirm your registration.