Participant Registration Form

Chosen training

Training reference *

Date and place *

Price *

Participant Details  
                                Last name * 
                                
                                First name * 
                                
                                Company * 
                                
                                Position * 
                                
                                Department * 
                                
                                Phone * 
                                
                           E-mail (nécessaire pour l'envoi des supports de cours) * 
                           
                           Address * 
                           
                                Postal code * 
                                
                                City / Country *

Training Manager Details

Last name

First name

E-mail

Phone

Billing information

Provide obligatory if the invoice should be addressed to an accredited fund-collecting agency or a third company.

Name of the agency (or third company)

Phone

Address

Postal code

City / Country Location

I agree to the use of my data by IEEPI. Your data will not be processed, sold or shared with third parties. More information

* Champs obligatoires.