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REGISTRATION: EACN/MIMI HEALTH & AWARENESS SEMINAR

REGISTRATION FOR EACN-MIMI HEALTH SEMINAR AND WORKSHOPS
VERY IMPORTANT: Please follow the instructions carefully and fill the form below. Remember to answer all questions asked in the form. Include your address, email, name, phone number, etc  Please give us enough information as possible regarding your request for an EACN HEALTH SEMNAR. When we receive your completed form, we will get back to you as soon as possible. Please note: All fields marked with * must be filled out, hence you can´t send this form
Title (*)
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Name (*)
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Surname (*)
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E-mail (*)
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Adresse (*)
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Postal Code (*)
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Town (*)
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Country (*)
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Telephone (*)
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Cell Phone
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Your Position (*)








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Composition of participants (*)
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We kindly request more details on contact/feedback options
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Contact when?
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More details on the participants (*)
Please supply Infos about participants, of the Seminar, Workshop or lectures!		 ----------------------------------------------------------

Info on - Participants: Please write here about the participants: Composition of attendants, their http://www.euroafricacentral.com/images/stories/demo/frontpage/write-here-button.jpgexpectations, special wishes, age, languages,composition of the attendants, intercultural experiences, main concentration/points or themes of interest etc.

Information on Logistics & Organisation (*)
please give Information on Logistics & Organisation!		 -----------------------------------------------------------
Info - Organisation: Please write here about the appointment, schedules and agenda, timing & plan, eg.: http://www.euroafricacentral.com/images/stories/demo/frontpage/write-here-button.jpg Time table, Times for breaks etc. Which equipment are available?  Notebook, Netbook, Beamer/Projector, screen,, loudspeakers, extension cables, Flipcharts etc. What are the participants bringing along to the event/workshop/seminar?
You can send us via this form all relevant documents like Winword, pdf, images (jpeg,gif) etc, with ease. Please simply use the Upload Buttons below.  So you will save yourself the walk to post plus valuable time & money.
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How did you discover us? (*)
How did you discover EuroAfricaCentral Network?!

Please write here:  http://www.euroafricacentral.com/images/stories/demo/frontpage/write-here-button.jpgHow you discovered us and further feedback
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Now please control once more all your entries. Make sure, all fields marked with (*) are filled out, remember the security code! Through sending of this form you agree with the EACN Terms, Services/Seminar Rules & Regulations & submit, that you are 18 or above. You also submit that all entries are true to the best of your knowledge.
  

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