Registration form
*
Fields marked with an asterisk are compulsory.
YOUR PROFILE
Note: This information will be available to the public on the event website:
First name
*
Family name (s)
*
Position within the company/organization
*
This information will only be used for security reasons to access the European Parliament.
A valid identity card or passport is required.
Do you already have a badge giving access to the European Parliament?
*
YES
NO
Type of ID (national ID or passport)
*
N° of ID/passport
*
ID/Passport expiry date
*
Date of birth
*
Nationality
*
Other details
E-mail address
*
Office phone
Mobile phone
Dietary requirements (allergies, food intolerances)
Person of contact (only if different from the participant):
First name
Last name
Position
Office phone
Email address
YOUR COMPANY
Organisation name:
*
Company phone:
City:
*
Country:
*
Website:
Twitter account:
Chamber of Commerce of reference:
Main activity sector
*
ACCOMMODATION AND FOOD SERVICE ACTIVITIES
ADMINISTRATIVE AND SUPPORT SERVICE ACTIVITIES
AGRICULTURE, FORESTRY AND FISHING
ARTS, ENTERTAINMENT AND RECREATION
CONSTRUCTION
EDUCATION AND RESEARCH
FINANCIAL AND INSURANCE ACTIVITIES
HEALTH AND SOCIAL WORK ACTIVITIES
INFORMATION AND COMMUNICATION TECHNOLOGIES
LIBERAL PROFESSIONS
MANUFACTURING
MINING AND QUARRYING
OIL, ELECTRICITY, GAS, STEAM AND AIR CONDITIONING
PUBLIC ADMINISTRATION
REAL ESTATE ACTIVITIES
TRANSPORTATION AND STORAGE
WATER SUPPLY; SEWERAGE, WASTE MANAGEMENT AND REMEDIATION ACTIVITIES
WHOLESALE AND RETAIL TRADE
OTHER SERVICE ACTIVITIES please specify:
Short description of the company in English.
(max. 50 words):
Description
ACTIVITIES
In addition to the European Parliament of Enterprises, which of the following activities will you attend?
13 November: National programme (if any)
14 November: National programme (if any)
ADDITIONAL INFORMATION
Please select if you want to be contacted by Eurochambres for future events or surveys:
YES
NO
PRIVACY AND DATA PROTECTION
By registering to this event,
I hereby declare I have read and accept the Privacy Policy (
https://www.eurochambres.eu/privacy-policy/
) and I authorise the organiser to process my personal data.
*
I also authorise Eurochambres to publish the data on the EPE website and to transfer the data to the security service of the European Parliament.
*
I also hereby acknowledge that on the occasion of the event I will be photographed and filmed as this is a public event. I hereby declare I have read and accept the copyright conditions (
www.eurochambres.eu/eurochambres-copyright-conditions/
) and I authorize the organizer to use my Image in accordance with these conditions.
*
I consent to my contact details (Title, First and Last Name, Organisation, Function, Country represented) being included in the list of participants and published on the website of the European Parliament of Enterprises™.
Date
Register
send
