Post-2020: Local action in a changing world, 3-4 December 2019 , Brussels.

Post-2020:

Local action in a changing world

3-4 December 2019, Brussels

EXPRESSION OF INTEREST

Name of LAG

Name of person nominated to attend

First Name Last Name

Email of nominee

example@example.com

Member States / EU *

Region (if applicable)

Position of LAG representative

LAG Manager / Co-ordinator LAG Chair / President LAG Member / Board Other LAG Staff

What is your main motivation for participating in this event?

Please answer briefly

Please confirm that you can participate in event in either English, French or German

YES NO

The European Commission is exploring the possibility to cover certain travel costs (not accommodation) for a limited number of participants representing LAGs to facilitate their participation. Please tick YES or NO if you would like to be considered for this assistance if your LAG is selected to attend.

YES NO

I have read and understood the Privacy Statement explained below *

YES

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