CO2 PACMAN Impact Forum Co-Designing Pathways to Climate Neutrality: From Island Experience to Wider Change

Title*

Mrs

Mr

Miss

Dr.

Name*

First Last

E-mail*

Enter Email Confirm Email

Localisation

Country*

Identification of stakeholders

Stakeholder*

Sector ?*

If you selected "other", please specify:*

Zone of intervention

Organization*

Function

Duration you wish to participate:

21 May

22 May

All days

Participate to the Acropolis hill visit on Thursday Morning

Yes

No

Personal data and validation

I authorize Interreg Euro-MED to use the photos and/or videos taken during the event and in which I appear. These photos and videos will potentially be published on the Program website, its social networks or for other publications.*

Yes

No

(If you check "yes", these photos and videos will be used to illustrate the event or for other dissemination materials and reporting. Checking "no" will in no way prevent you from participating in the event.)

I authorize the Interreg Euro-MED Program to share my contact details (surname, first name, email, organization and position) with other participants in the event.*

Yes

No

(If you choose "yes", your data will appear on the list of participants which may be shared with other participants for networking and communication purposes. Checking "no" in no way prevents your participation.)

Do you agree to be contacted by email or telephone for the purpose of collecting additional information?

Yes

No

Do you have any allergies?*

Yes

No

Specify allergies