Participation Form

First Name

Last Name

Email Address

Do you plan to participate in the 2022 BEL Initiative program from July 2022-August 2022?

YES!

NOT SURE

Company/Organization Name

Department where your company is located (Ouest, Nord, Sud, etc.)

Biography of yourself (I.E.: Name, location. Founder and cofounder of company, vision, etc. (no more than 6 sentences))

Company Logo

Clean headshot photo of yourself

Comments / Questions

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