Registration Form - Smart Mobility

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Smart Mobility Registration Form

In order to collect information about the tracks you will attend, please fill out the short form below, and click the button to continue:

All these fields must be filled in
		Mr Mrs Ms
FIRST NAME:
LAST NAME:
JOB TITLE:
ORGANIZATION NAME:
E-MAIL ADDRESS:

► I will be present

for the Full event

on Sept. 22

on Sept. 23

on Sept. 24

► I will be present at

the lunch of Sept. 22

the lunch of Sept. 23

► Accommodation Opportunities at The International Centre of Valbonne (CIV) (offer reserved only to Academics, Students & Non Profit Organizations)
I will book the following night(s):		Monday Sept. 20 - Tuesday Sept. 21
		Tuesday Sept. 21 - Wednesday Sept. 22
		Wednesday Sept. 22 - Thursday Sept. 23
		Thursday Sept. 23 - Friday Sept. 24
		Friday Sept. 24 - Saturday Sept. 25

Please click on the following button:

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