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Eurodad Policy Forum 2018 Registration Form
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1.
Are you a...?
(Required.)
Eurodad member
CSO
Individual participant
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2.
First Name
(Required.)
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3.
Last Name
(Required.)
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4.
Organisation
(Required.)
5.
Position title
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6.
E-mail
(Required.)
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7.
Phone
(Required.)
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8.
Address
(Required.)
Address
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Address 2
City/Town
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State/Province
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ZIP/Postal Code
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Country
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9.
How did you hear about this event?
(Required.)
Eurodad board
Eurodad e-mail invitation
Eurodad newsletter
Eurodad website
Facebook
Friend/colleague/listserv
Twitter
Other (please specify)
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10.
Do you have any special dietary requirements or allergies?
(Required.)
No
Yes (please specify)
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11.
Are you allowed to enter the Schengen area?
(Please note that some participants might have to apply for a Schengen Visa in order to visit Belgium. Eurodad can not provide support on that)
(Required.)
Yes
No