Guest registration formA3P International CongressOctober 8, 9 and 10, 2024 – Biarritz✻Participant informationCivility*MrMsParticipant* Name Surname Company*Address* Postal address City ZIP Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Job function*Email address* Phone number*Registration informationOfficial invitation*Registration for the A3P Congress on October 8, 9 and 10, 2024 in Biarritz - This form is filled out following an official invitation from a member of the A3P association board.Choice of your workshop (if selection is not possible = full workshop)*Workshop 1Workshop 2Workshop 3Workshop 4Workshop 5Workshop 6Workshop 7Workshop 8Workshop 9Workshop 10Workshop 11Workshop 12Workshop 13Workshop 14Workshop 15Workshop 16Workshop 17Workshop 18Workshop 19no workshopInteractive breakfast on October 9*I wish to participateI do not wish to participateSupported by A3PA3P Covers*My registration to the Congress and the meals included in the programA3P does not cover my accommodation and transportation feesAdditional information (optional)A3P Communications and Terms and ConditionsImage rights*In accordance with the provisions relating to the image right, I authorise A3P to use the photographs taken within the framework of this event to illustrate the communication actions of A3P, without any compensation and without time limit.A3P Newsletter Subscriptions General A3P Newsletter A3P formation Newsletter Newsletter pharmasbiotech.comA3P Forms General Terms and Conditions*The data collected on this form are stored in a computerized file by A3P Association. Those data are intended for the management of the A3P database, billing, as well as the marketing and sales department. They will not be disclosed to third parties. In accordance with the Data Protection Act, the General Data Protection Regulation (GDPR) and our Privacy Policy (https://a3p.org/a3p-privacy-policy/), you can use your right to access, change and delete these date. By submitting this form, you acknowledge having accepted these conditions and our Privacy Policy.NameThis field is for validation purposes and should be left unchanged.