REGISTRATION FORM

EBU Youth Network

A. Details for the EBU national member

Name
Street address
City

Postcode
Region

Country
Email

Website
Telephone

Telefax

B. Details for the blind youth organisation in your country, if applicable

Name
Street address

City
Postcode

Region

Country                                           
                                               
Email

 Website                                                    
Telephone 
Telefax

C. Details for your contact person

Family name (Mr/Ms)

First name
Position/function
Email
Telephone

Telefax

 

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