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Do you agree with the Manifesto for a Quota and do you wish to be a signatory as a sign of your support?  If so, please send us the information below and we will add your name to the list of Manifesto signatories.

Your name, position and organisation will be added to the list of signatories; your e-mail address and telephone number will not be shown. We need this information to be able to verify your request.

(*)The spaces marked with an asterik are mandatory.

 

Gender (*)                                  man      woman

Educational Degree                  

First name (*)                             

Tussenvoegsel                          

Last name (*)                             

Current position (*)                    

Company/Organisation (*)       

Cell phone number (*)              

E-mail address (*)                     

Comments
                                                      

I support the Manifesto for Quota and give permission to place my name on the Quota Manifest website (please check the box)

 
 

 

 

 

 

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