REGISTRATION FOR MADCITY 2019
MAY 30-31, 2019 / RIGA
I'm registering as
*
Organization
Private individual
Private Individual
Full name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Are you a student or a professor?
*
Yes
No
Do you own an electric car?
*
Yes
No
Are you a member of a local community?
*
Yes
No
Promo code
Company
Organization
*
Company registration number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
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Australia
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The Bahamas
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Chad
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Democratic Republic of the Congo
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Dominican Republic
Ecuador
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El Salvador
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Falkland Islands
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Fiji
Finland
France
French Polynesia
Gabon
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Greece
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Guadeloupe
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Guinea-Bissau
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Macedonia
Madagascar
Malawi
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Maldives
Mali
Malta
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Martinique
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Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
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Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
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Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
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United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Number of people attending
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Promo code
1 attendee
Full name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
2nd attendee
Full name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
3rd attendee
Full name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
4th attendee
Full name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
5th attendee
Full name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
6th attendee
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
7th attendee
Full name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
8th attendee
Full name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
9th attendee
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
10th attendee
Full name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
11th attendee
Full name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
12th attendee
Full name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
13th attendee
Full name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
14th attendee
Full name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
15th attendee
Full name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Contact person
Full name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
End of form
Submit registration
If you have any questions contact us
by phone: +371 27373939
by email: info@madcity.lv
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