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Indication of interest - becoming a local organizer

If you would like to take part to the Global Citizens’ Debate on the Future of Internet as a “National or Regional Partner or Pilot” and arrange a citizen consultation in your country or region, please fill out the required information in this online web formula

mandatory answer

Question 1

Please provide your email

mandatory answer

Question 2

Is your organization interested in being a pilot of the Global Citizen's Debate on the Future of Internet in your country or region in 2018 (see requirements below)?

uncheck

mandatory answer

Question 3

Is your organization interested in organizing a citizen debate on the Future of Internet in your country or region in 2019 (see requirements below)?

uncheck

Question 4

If you are unable or not interested, please tell us why:

mandatory answer

Question 5

What is your country/region?

mandatory answer

Question 6

What is your organization name?

mandatory answer

Question 7

What is your oganization website?

mandatory answer

Question 8

What are is your oganization phone?

mandatory answer

Question 9

Who should we contact within your organization related to this project (Please give name, surname and email) ?




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