Signatory
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* Mandatory fields
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Title*
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First name
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Surname*
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Street name
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Nummer
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Postcode
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Town
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Country
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Telephone number
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E-mail*
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Preferred language*
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Organisation*
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Department/group
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Function
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The signatory is also a user:*
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Other users
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First name, surname, e-mail address of other users
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SPOC (Single Person of Contact)
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First name, surname (SPOC)*
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RISE-Training course
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All users have attended a RISE training course:
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If not all users have completed a training course, the RISE administration will contact the signatory to organise a training course.
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Billing address (if the field is left blank, the signatory’s address will be used)
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I would like to receive the invoice:
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Description of the planned use of RISE / Comments
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Yes, I would like to request an individual consultation. Please contact me.
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Yes, I would like to subscribe to the RISE newsletter.
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Data protection
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I agree to the following:*
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