JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Congrès Miroir en France, 24-26 Mai, 2019
Le Havre, France. Prix: 15 €/jour | Price: 15€/ day
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Nom, prénom (Name, Surname)
*
Your answer
Genre (Gender)
*
Masculin (Male)
Féminin (Female)
E-mail
*
Your answer
Adresse (Address)
*
Your answer
Mobile / WhatsApp #
*
Your answer
Langues parlées (Spoken languages)
*
Your answer
Âge (Age)
*
Your answer
Alimentation (Diet)
*
Sans restrictions (Without restrictions)
Nourriture végétarienne (Vegetarian food)
Allergie - si oui, préciser à quoi en commentaire (Please inform us if you have any allergy)
Other:
Commentaires, demandes spéciales (Additional special requests)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
