Event Registration

Application for participation to the Third Multiplier Event

18-19 April 2019

Paris 8


Name/surname: *
Email: *
Telephone: *
Attribute / Professional specialty: *
Institution / Organization:
Concerning the Multiplier Event, I am interested in the following: *
I wish to get certification of attendance: *
More information about your activities and interests (not mandatory):

In case there is any problem, the completed form may be sent through email to

For any clarification do not hesitate contact us.



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