ICCM EU 2021 Registration

REGISTRATION for the Virtual ICCM Europe conference is now open.

It is FREE to register and take part in this conference. It will take only a few minutes to complete this form. Please register as soon as possible and encourage your friends and colleagues to register too.

1 Personal details

2 Do we know you?

3 Help with ICCM


                        
                                    ICCM Reg State
Moxtra Reg State
EuroPrep Internal Notes
Personal details*Please know we will also record your IP address during this registration.

                            
                                                    Prefix
                                                    
                                                  
                            
                                                    First name
                                                    
                                                
                            
                                                    Middle
                                                    
                                                
                            
                                                            Last name
                                                            
                                                        
                            
                        
Email*E-mail *

                            
                        
Organization*Organization name *
Organization website*Organization website *
User CountryCountry of residence during ICCM
User AgeWhat is your age during ICCM
Your online name during ICCM*Which name/label will you use during online meetings? It helps if you use a name others will recognize. Please understand we will not allow unknown people to join virtual meetings. 
Can we share your name and email with all of the participants?*No do not share
Yes you can share
Can we add your email to the ICCM EU mailing list?No do not add
Yes send ICCM mail
I am already on list
Moxtra Registration Email AddressTo provide you the latest ICCM EU information like important links to online meetings we would like to invite you to join the free direct messaging app Moxtra. See information underneath this form. Please provide the email address you will use for Moxtra. All participants in a Moxtra group can see your Moxtra name and e-mail address. Moxtra registration is simple and does NOT need a phone number

                            
                        
How soon will you register with Moxtra?After approving your registration we would like to invite you to the Moxtra groups. This might take a few days. Please let us know how soon you plan to register with Moxtra. We plan to use this as the main communication channel. 
Alread registered with Moxtra
Soon after this ICCM registration
No, I will not join Moxtra
                    
                    
                          
                    
                
                
                    
                        Help us understand who you are*Everyone is welcome at ICCM Europe. However, due to the security-sensitive nature of some of the topics discussed, we would like to know who you are before you join the conference. Please tell us, in your own words, why you would like to attend ICCM-Europe. 
Last ICCM?*In what year did you last attend ICCM?
Last ICCM locationWhere was the last ICCM you attended?
Friend we can contact [E-mail]Can you plese provide an e-mail address of someone known to ICCM or or a friend we can contact to confirm you are a genuine registration. If you live outside Europe/USA you need to specify someone known to us for a valid registration.

                            
                        
Friend we can contact [Name]What is this friends name?

                    
                    
                          
                    
                
                
                    
                        Help with online conference?Would you like to help run this online version of ICCM? Do you have any experience with online meetings. Please tell us how you can help. Suggestions for tools we can use are also welcome.
Present or teach during conferenceDo you have a technical / leadership / Christian topic you like to teach on? Let us know and if there is room in the program we will contact you to ask for the details.
Other remarksWhat would you like to add that would help make this a great virtual conference?
CommentsThis field is for validation purposes and should be left unchanged.

Extra information:

To keep you up to date, before and during the conference, we would like to send you direct messages through the free Moxtra app.

More information on registering and downloading this app can be found on this page

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