Registration form

Deadline for registration : 13/04/2016

 
 
   
 
 
Title
 
 
 
Last Name*
 
 
 
First name*
 
 
 
Function*
 
 
 
Organisation Name*
 
 
 
Street, Number, P.O. Box
 
 
 
City, town, area
 
 
 
Country
 
 
 
Phone number
 
 
 
Email*
 
 
 
Please enter your own professional email address, and not the general email address of your organisation. Two people can not use the same email address to register.
   
 
 
Do you wish to attend the lunch?
 
YES
NO
 
 

N.B. The room is equipped with access for wheelchair users.
   
   
 
 
Do you have any special access requirement?
 
 
   
 
 
Do you wish to be informed about other relevant events?
 
YES
NO
 

I accept the general conditions of the personal data protection policy applied by the EESC in accordance with Regulation (EC) No 45/2001. 
   
Yes*
 
 
 
 
The European Economic and Social Committee cannot cover participants’ travel and subsistence costs.