REGISTRATION FORM

Name of the Event: Ms./Mr .__________________ Name Profession Date of birth: Address: Country: Telephone: Fax: Nationality: Have you participated in an IAF seminar before ? No Yes (indicate name and date of the event) Special eating habits: Diet No pork Vegetarian E-Mail : _____________________________ First name

Others: _________________________

Knowledge of languages: Espaol

Deutsch

English

Franais

Others: __________________________________ In case of emergency please contact: