Registration form Coalitions for Impact | 4 JUNE 2019 Glazen Zaal, Prinsessegracht 26, The Hague Coalitions for Impact | 4 JUNE 2019 I will attend the Coalitions for Impact event Yes No Sir/Madam * Sir Madam First name * Family name * Organisation * Job title * E-mail * I agree to Society Impact using above mentioned info for the purpose of an attendance list Yes No If you are human, leave this field blank.