European Federation of Allergy and Airways Diseases Patients' Associations (EFA) - European Federation of Allergy and Airways Diseases Patients' Associations (EFA)

AGM Registration Form

Organisation Name(*)

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Country(*)

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Delegate Name(*)

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Position(*)

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i.e. 003222272712(*)

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Email Address(*)

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Date of Birth(*)

/ / Invalid Input, please entire your full date of birth.

National ID or Passport Number(*)

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This information is being requested for the visit to the Houses of Parliament.

Accommodation Dates(*)

Sunday 22nd MayMonday 23rd MayNo accommodation requiredInvalid Input

Please select the night(s) for which you will require accommodation. Please note that EFA covers the cost of 1 night's accomodation.

Time of Arrival

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Please select your arrival time to the nearest hour. If you do not yet have an arrival time please move to the next field.

Room Type(*)

Single Room

Double Room (Single Room cost will be reimbursed)

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If you would like to reserve a double room we are happy to facilitate this request when reserving. However, please note that EFA will reimburse the cost of a single room only. Any costs over and above this budgeted amount will need to be paid by the individual. If you require further details of these costs email info@efanet.org.

Dietary Requirements

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Travel Costs

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I will be attending(*)

Meeting on 23rd May

Meeting on 24th May

Dinner on 23rd May

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Please select all that apply.

Organisation's Reimbursed Delegate(*)

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EFA will cover the costs for one delegate per member organisation. Please indicate whether or not you are the selected delegate for your organisation by selecting Yes or No in the dropdown above.

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