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Mr. / Ms. *

First name *

Last name *

Job title

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Mobile number:

Email address *

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Organisation *

Country *

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VAT number including two country letters *

(please write "N/A" if you don't have a valid VAT number)

I register for the whole Impact Day *

By ticking this box you agree with the handling of your registration data in accordance with EU General Data Protection Rules (GDPR) and the cancellation policy. *

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I agree to appear on the delegate list in the mobile app with my full name, job title and organisation name. *

I authorize IFB to reproduce and exploit my image in photographs and films for the purposes of the promotion and communication *

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Belgian Impact Week