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:: Come and visit! - Inscription Professional visitors ::
       
General public visitor - Individuals, community life
Free admission badge code number - Do not forget to ask for it!

Your non-transferable entry badge gives direct, free and permanent access to the Exhibition
Pre-register and receive your entry badge code filling in this form attached
you will receive your badge code number by e.mail
Please fill one form by request badge code
The fields preceded by a red point must obligatorily be filled
 
General public visitor - Individuals, community life
     Train vouchers SNCF (Number of vouchers)
Civility : Mrs Miss Mr
Name :
First name :
Address :
Zip Code :
City :
Country :
E.Mail :
Phone :
GSM :
Fax :
Your are a visitor and?
elderly person dependent elderly person
family circle disabled person
miscellaneous
Which handicap(s) or dependence(s) do affect you?
physical visual
auditory mental
miscellaneous
What are your main centers of interest?
technical aids Communication
transfers gerontology
housing conditions hygiene
integration information consulting
data processing leisure and holidays
home appliances professional life
miscellaneous
Other
Information
or
Suggestion 
This information is intended for ADES Organisation Autonomic.
We can be brought to use this information at ends of prospection. Declaration CNIL N° 1035471.
If you do not wish it, notch the box opposite:
Right of access, modification, correction and suppression of the data concerning you (Law « Informatique et Libertés » of January 6, 1978). For any request, you address to: ADES ORGANISATION - 15 RUE DU DOCTEUR ROUX 94600 CHOISY LE ROI
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Version accessible handicap moteur
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