Registration form • IPA Cross Border Programme • CCI Number: 2007CB16IPO007

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Registration form

Name* Organisation* Partner information* Country* Region* Municipality E-mail*

Phone* Priority*

(Priority Axis 1) 1.1 Economic Development

(Priority Axis 1) 1.2 Social Cohesion

(Priority Axis 1) 1.3 Project preparation

(Priority Axis 2) 2.1 Utilisation of eco resources

(Priority Axis 2) 2.2 Utilisation of cultural resources

Project name* roject goals* Please, write the symbols from the image.*