Registration - City - Services - Organization for International Economic Relations

USC Participant Registration form

USC Participation reference number

City data and information

City nameThis field must not be empty.

Address Line 1This field must not be empty.

Address Line 2

Postal Code

CityThis field must not be empty.

CountryAn option must be chosen.

Telephone NumberThis field must not be empty.

Fax Number

Website Address

City name

Address Line 1This field must not be empty.

Address Line 2

Postal Code

CityThis field must not be empty.

CountryAn option must be chosen.

Telephone NumberThis field must not be empty.

Authorized city representative (according to city registration)

Name representative (mayor)This field must not be empty.

Email address representativeThis field must not be empty.
This field must contain an email address.

Telephone number representativeThis field must not be empty.

Contact person / Liaison for USC program (1)

Name contact personThis field must not be empty.

Function contact personThis field must not be empty.

Email address contact personThis field must not be empty.
This field must contain an email address.

Telephone number contact personThis field must not be empty.