REGISTRATION FORM

TOGETHER-RGB

for the TOGETHER workshop on leveraging

behavioural change

04.06.2018, Brussels

First and last name:*
Institution:*
Role/position:*
Telephone:*
E-mail address:*
Please indicate if you have any accessibility requirements:

Registration confirmation letter will be sent to the e-mail address given above. If you have any questions regarding the workshop or have problems with registration, please contact the Association of Municipalities Polish Network “Energie Cités” at e-mail address: biuro@pnec.org.pl or at phone number: +48 12 429 17 93.

* Obligatory fields