Questions marked with a '*' are mandatory
 

AQUAMED REGISTRATION FORM

www.aquamedproject.net

Rome (Italy), 20 - 21st November 2012


IMPORTANT!
The places to attend this Meeting are limited. In order to avoid disappointment please register no later than 15th October 2012. An e-mail to confirm your attendance will be sent to the e-mail provided in the on-line registration form.

If you have registered and you cannot attend, please cancel your registration by sending an e-mail to emma@aquatt.ie
 

Please complete the information below. Please note that questions marked with a '*' are mandatory

 *
Name*:
Surname*:
Organisation*:
Position*:
E-mail*:
Telephone*:
Address*:
Country*:
 
 
 

Which Stakeholder Community do you belong to - can be multiple
       		 
 
 

Many thanks for your registration!
      
 
 
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