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Formulaire d'inscription I Registration form : Ceramic Art Andenne 2023 - 28 & 29-05-23
Formulaire de contact / Contact File
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* Indicates required question
NOM / FAMILY NAME
*
Your answer
Prénom / Fist name
*
Your answer
Nom d'artiste / Artist name
Your answer
*
M
F
Adresse complète / Full address (Rue/street - n° - code postale/ Zip code - ville/city - Pays/country)
*
Your answer
Nationalité / Nationality
*
Your answer
Date de naissance / of birth
*
MM
/
DD
/
YYYY
Tél - mobile (+ préfixe)
*
Your answer
E-mail
*
Your answer
Site web / Website
Your answer
Compte Facebook / Facebook Account
Your answer
Compte Instagram / Instagram Account
Your answer
Langue de contact / language of contact
*
Français
English
Si vous êtes sélectionné.e, avez-vous besoin d'électricité sur votre stand ? / If you are selected, do you need electricity on your stand ?
*
Oui / Yes
Non / No
Organisez-vous des stages? Si oui, quel est l'intitulé, la thématique ? / Do you organise workshops? If so, what is the title/theme?
Your answer
Existe-t-il un film sur vous/votre travail? / Is there a film about you/your work?
Your answer
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