Film Labs meeting – Individual registration

(One form per person)
To confirm your registration if you are not included in a lab collective registration, you have to
* Fill in this form by the 31st March 2016
* Pay a registration fee of 30€ (details for bank transfer will be sent to you after reception of your form)

Registration gives access to the “Film Labs Meeting” activities as well as to “Meeting the Film Labs” film and performances programmes (within the limits of places available).

BAINS ARGENTIQUES – FILM LABS MEETING 2016
from 4 to 9 July 2016 – Nantes, France
filmlabsmeeting@mire-exp.org

www.mire-exp.org
www.re-mi.eu

Family Name :
First name
Email :

Professional activity / Main occupation :
Town of residence :
Country :
Age
This information is for statistic purposes only and will remain anonymous, as will all statistics and information collected in relation to BAINS ARGENTIQUES – FILM LABS MEETING

Days of presence

Prove you are human :