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Registration for seminar CAN
Name
First name
Birth date (ex : 10-12-2010)
Profession
Name of employer
Field of activity
Address
Postal code

10 of 10 char(s) Left

City
Country
Province

20 of 20 char(s) Left

Private phone
Mobile phone
Professional phone
How (or by whom) did you learn about the existence of OGE « The reverse of ego » activities?
Date of event you chosen
2. Form to be approved : Conditions of participation: I, the undersigned, wish to register for an OGE « The reverse of ego » seminar and agree to pay the sum of Can$400 (payment in CAN only). I will receive by e-mail a written confirmation of my registration. Upon confirmation of my participation, and in order to maintain my registration, I agree to pay within 10 (ten) days the amount due mentioned above. In the interest of the smooth running of the OGE « The reverse of ego » seminar, I undertake not to reveal to third parties the identities of the other seminar participants, without the agreement of the interested parties. Terms of cancellation: I understand that unless notice of cancellation received in writing from the organizers at least 7 (seven) days before the start of my seminar, the amount paid of Can$400 cannot be returned to me. The organizers reserve the right to modify the dates and places of the seminars, if necessary. I have read and I accept the conditions of participation and cancellation

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