JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Formulaire d'inscription - L'Enquête nationale citoyen et engagement
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Représentez-vous une association ou une
commune locale ?
*
Association
Commune locale
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of bpact.be.
Report Abuse
Forms