INSCRIPTION JOURNEE D'AMITIE CHRETIENNE 2024

REGISTRATION FORM   -   Order n° 1720955706443 du 14/07/24 13:07:06

Don't forget to scroll down, all the information is added to each other. Fields preceded by a are mandatory.
In the event of a technical problem with the form, please contact the webmaster

1/ Enter your contact details.

Civility : 
First name : 
Surname : 
Year of birth : 

Email : 
Email : 
(confirmation) 
Address Line 1 : 
Line 2 : 
Line 3 : 
Zip code : 
City : 
Country : 
Mobile phone : 
Land line : 

At least one phone number is needed, either landline or mobile.