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Duesseldorf workshop application form
Wednesday, 19 May 2010 15:19

Duesseldorf workshop application form
ENERGY CHANGE Clinic and Toolkit workshop, Holiday Inn, Duesseldorf, October 12, 2010 2009

Please submit your application by June 30th, 2010. We will contact you by July 5th to confirm your participation.

The asterisk (*) marks information we really cannot do without.

First name: (*)
Please add a value for First name.
Last name: (*)
Please add a value for Last name.
Title:


Organisation: (*)
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Department:


Street / PO Box: (*)
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Postal Code: (*)
Please add a value for Postal Code.
City: (*)
Please add a value for City.
Country: (*)
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Phone: (*)
Please add a value for Phone.
E-mail: (*)
E-mail: is not a valid e-mail address.


Please describe your project idea and the aspects you would like to improve in max. 200 words:
Your project (*)
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Can you spend about 4 hours before the workshop trying out the Toolkit? (*)

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Are you willing to present your project to all workshop participants? (*)

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Can you bring your own laptop? (*)

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Special dietary restrictions
Do you need accommodation in Duesseldorf

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Do you need assistance for travel costs?


Estimated cost of travel
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