Registration Form - Fractality

For your pre-registration please fill in and submit this form. You will automatically receive a copy by e-mail.

Details of the Organisation
Company or Organisation Name*
Activity*
Please write one or more professional activities of your company or organisation
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Enter Email Confirm Email
Website
Contact person
If not identical with the participant(s)
- Yes
- No
Title
Name
First Last
Position
Email
Enter Email Confirm Email
Phone
Participants
Participants*
Please fill all tabs
Name of Participants Workshop(s) titles Starting date Current position
Erasmus+ funding
Fill these fields, if you are a legal entity (profit organization, NGO, University, scientific or cultural institution) and you want to apply for the Erasmus+ funding .
Applied already for an Erasmus+ funding ?
- Yes
- No
Deadline used
- Yes
- NO
Date of used deadline
DD slash MM slash YYYY
Received already an Erasmus+ funding ?
- Yes
- No
Funding grand period
From*
DD slash MM slash YYYY
Until*
DD slash MM slash YYYY
Invoice details*
Additional remarks (if you would like to add something)
For Erasmus+ funding
Fractality is a course provider registered by the European Commision.

If you want to make use of the Erasmus+ programme of the EU, you don’t have to pre-pay the workshop fee as long as the result of the grant application is pending. You just need to fill in this application and return it to Fractality.
When the application for Erasmus+ has been successful, you should pre-pay the workshop fee(s) to Fractality.
In case your application to Erasmus+ has been unsuccessful, you have to inform us immediately, to either cancel participation in the workshop or offer to pay the workshop fee without an EU financial support.
TERMS OF AGREEMENT
By returning this form to us, you agree with the terms of this form and you should be legally entitled to sign it.
The registration will be confirmed when the full fee has been transferred to our bank account -unless agreed differently - and this registration form has been filled and returned to us, by e-mail.
For the transfer to the bank details, you have to mention: workshop title, participant(s) and dates.
Workshop Fees and Services are given in detail in each Workshop page. Travel and accommodation are not included and will have to be arranged by the participants themselves. We can support your travel and accommodation arrangements.
A workshop might be cancelled or postponed for Force Majeure reasons. No later than 30 days before the start of the specific workshop, you will be notified of this. The prepaid fees will be automatically and fully refunded, unless you decide to enrol for another workshop(s) or change to another dates.
Until 30 days before the starting date of the selected workshop, cancellation will be free of charge and the pre-payment will be fully refunded. Between 30 and 15 days before the starting date of the workshop, fifty percent of the fee will be refunded. Within the 15 days before the starting date of the workshop no refunds will be made.
Terms of agreement*
- I agree with the above terms
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Name of Participants	Workshop(s) titles	Starting date	Current position

Details of the Organisation

Contact person

Participants

Erasmus+ funding

For Erasmus+ funding

TERMS OF AGREEMENT