AcouS PROPA Registration for day of information

AcouS PROPA® DAY OF INFORMATION AND EXCHANGE

Location and dates of training chosen: *

in TOULOUSE

in PARIS

CONTACT

Company: *

Address: *

Postcode: *

City and country: *

Phone: *

Name and First Name of the training manager: *

Email of the training manager: *

DAY OF INFORMATION PARTICIPANTS

Name and First name of the PARTICIPANT n°1: *

Email of the participant n°1: *

Name and First name of the PARTICIPANT n°2:

Email of the participant n°2:

To include other participants, thank you for informing their name, first name and email:

PRICE OF TRAINING

Are you the owner of the AcouS PROPA® maintenance contract ?: *

YES

NO

PRICE OF THE DAY OF INFORMATION AND EXCHANGE

For holders of the maintenance contract :
• FREE for the 1st participant holds
• 130€ Tax Free / person for the following participants

For NOT holding the maintenance contract :
• 220€ Tax free / person for licensees who do not hold

Would you like to receive a training agreement ? (training organization stated under n° 73.31.04256.31):

YES

NO