Registration Form - Baltic & Joint Coffee and Culture Morning

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Thank you for your interest in taking part in the Coffee and Culture Morning of the JFCB International Club hosted by the Baltic & Joint delegations.

When: Thursday, April 20, 2023 from 10 to 12am

Where: International Conference Center, Ouverbergstraat 1, 6445 PC Brunssum

Payment:
Beneficiary name: Financial Controller (Allied Joint Forces Command) JFC HQ Brunssum
Account number: NL 26 ABNA 0101979975
Amount: 7€ entrance fee for members / 12€ for non members + raffle

Reference: Baltic & Joint CCM - First & Last Name

The final day for online registration and payments will be on the 13th of April 2023

Childcare :
Unfortunately, there will NOT be childcare available for the Baltic & Joint Coffee and Culture morning. We apologize for the inconvenience.

Email *

First and Last Name *

Are you a member of the JFC International Club?
*

Yes, I am a member (I will pay 7€ entrance fee)

No, I am not a member yet (I will pay 12€ entrance fee)

DELEGATION: If you are a member, which is your delegation? *

Baltics

Canada

France

Germany

Italy

Joint

Poland

Türkiye

United Kingdom

USA

RAFFLE: Would you like to participate in the raffle?
*

Yes; I will add 2€ to my payment for 1 raffle ticket

Yes; I will add 5€ to my payment for 3 raffle tickets

Yes; I will add 10€ to my payment for 7 raffle tickets

No, thank you.

PHOTOS: I agree to be included in photos taken in this event. I understand that the photos might be used on Club´s promotional materials, web site and closed Facebook Group.
*

Yes

RECEIPT: Do you require a receipt for your Coffee and Culture morning payment? If so, we will prepare these ahead of time.
*

Yes

EMERGENCY: In case of an emergency, are you trained as a first responder or CPR? Are you willing to help if there is an emergency?

Yes, I am willing to help with a medical emergency

Yes, I am trained as first responder

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Any comments or questions?

A copy of your responses will be emailed to the address you provided.

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