Full Name

    Address for Correspondence

    Job Title or Position

    Company Name

    Country

    Daytime Telephone Number

    Mobile Phone Number

    Your email address

    Please give a brief (150 words max.) biographical account, career history and relevant experience.

    1000

    Please state which workshop you would like to register for (plus code)

    Please confirm the start date of the workshop you have selected

    Please confirm the finish date of the workshop chosen

    Invoice Address (if different from above)

    Company Registration Number

    VAT / TVA / BTW Number

    If you are a member of an EIIL partner organisation, or Corporate Member, please provide its name, or agreed APPLICATION CODE, below

    Please tell us how you heard about the EIIL?

    Please confirm you have read and accept the EIIL cancellation policy (see 'Register for a Workshop' page )