I will attend the Coalitions for Impact event

Yes

No

I will attend 15.00 – 16.30 (CEST)

Tuesday May 18: Iraq

Thursday May 20: Lebanon

Tuesday May 25 : Tunisia

Thursday May 27: Jordan

Sir/Madam *

Sir

Madam

First name *

Family name *

Organisation *

Job title *

E-mail *

I agree to Society Impact using above mentioned info for the purpose of an attendance list

Yes

No

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