Enrolment Page / Information request

To take part in the Challenge along with your company, please fill out this form. Following your enrolment, your company's HR teams will send further information (more than one box may be checked) :    

Title*	Mrs Mr Miss
Last name*		First name
E-mail*		Mobile*
Company*	Bouygues Telecom Groupe Carrefour GDF SUEZLagardèreLogica	Position*
Adresse
Code Postal		Ville
I would like to attend the CDMGE Academic Challenge on 29 May 2010, as a: Student team mentor             HR team assistant             Runner in the 4 x 400 m or 10 km relay
* Compulsory fields