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ANMELDEBOGEN REGISTRATION FORM FICHA DE INSCRIPCION FICHE D`INSCRIPTION

Frau / Herr Ms./Mr . Mme. / M. _______________________ Sra./Sr. name/Prnom/Nombre Beruf/Profession/Profession/profesin: Geburtsdatum/date of birth/Date de Naissance/fecha acimiento: Anschrift/Address/Adresse/Direccin: Land/country/Pays/pas: Telefon/Telephone/Tlphone/Telfono: Fax: E-Mail : Nationalitt/Nationality/Nationalit/Nacionalidad: Have you participated in an IAF seminar before ? No Yes (indicate name and date of the event) spezielle Egewohnheiten: Vgtarien / Vegetariano special eating habits couchon/ no cerdo Habitudes alimentaires Others: _________________________ costumbres alimenticias especiales Sprachkenntnisse: Espaol Knowledge of languages Connaissance en langues idiomas que domina Andere: __________________________________ Others Autres Deutsch English Franais Dit / Diet / Rgime / Dieta Kein Schwein/ no pork/ pas de Vegetarier / Vegetarian / _____________________________ Vorname/First Name/Surname/Nom/Apellido

-2Otro im Notfall zu benachrichtigen: in case of emergency please contact: en cas d'urgence s.v.p. contacter: en caso de urgencia avisar a:

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