BE A CHANGE 2011 REGISTRATION

Please note that there will be 8 euros fee to cover your food expenses during the weekend.



First name:

Last name:

Email Address

Phone number:

Address line 1:

Address line 2:

Country:

Year of birth (optional)

Education background (optional)

Professional background (optional)

How did you hear about Be A Change? (optional)

Do you need accommodation?

Food allergies / Special dietary

requests:



If you have an idea and wish to participate in Be A Change 2011 contest, you will need to download and fill in the form below. The application should be sent to info@beachange.org no later than 15th November 2011.

Be A Change Competition Application.docx

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