× missa 2018 logo - Welcome & current events - - Learn everything - - You want to get involved? - - Ideas - - Toolbox - - Become an ambassador - - Connect to your account -
missa 2018 logo
sandwich menu
Ambassador Form

Your confidential data will be protected. It will not be publicized without your express permission (please see consent field below). Your data may, however, be visible in a field reserved for exceptional contact data (telephone number, email and other personal messages sent to us) but will be used only by the administrators of the Ambassadors’ website and the « Village-monde » team, in case we need to contact you..
The ambassadors’ files will be placed with the CNIL.

Please fill out the below fields then confirm. The fields with an * (asterisk) are mandatory. Thank you.


picture



LANGUAGES SPOKEN





I am open to all actions of development, welcome or promotion taken to increase the attractiveness of L’Isle-sur-la-Sorgue



I would like to be contacted more precisely for the following (check the answers that match your choices, several answers are possible):














I can participate directly in










Your photograph (JPG or PNG format ; max 1Mo)




Your moment of « love at first site » for L’Isle-sur-la-Sorgue* :
(write out a sentence that explains why you feel
strongly attached to L’Isle-sur-la-Sorgue and its region).
This sentence may be used in different documents promoting the city.