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*Full name of person attending the meeting:

*Role of person attending the meeting:

*Organization name:

*Email

*Telephone of attendee:

Signal (preferred) or WhatsApp no. of attendee:

Street & number:

Postal code:

Town:

Country:

*Purpose of meeting:

Other information:

The data entered on this form will be used to manage the appointment and the relationship with the client. After the appointment it may be deleted at the request of the client.

*I accept these conditions acceptance not checked