GAC-EPA — Groupement des Anciens du CERN-ESO Pensioners' Association

Contact Form

Contact the GAC-EPA (Groupement des Anciens du CERN - ESO Pensioners' Association)

(explanations for filling in this form)

Your message


 Information Sessions ("permanences")

 Pensions Commission
 Pension Guarantees
 Health Insurance Scheme (CHIS)
 Health working group ESO
 Commission on Legal Matters

 Mutual Aid Fund
 Social Activities

 ESO representative

 Other (use this if you are
not sure which of the above
functions to address)

Your coordinates
title first name family name
your e-mail address
re-type your e-mail address:
(both e-mail addresses must be identical)

You will receive a copy of the content of this form by e-mail.

Protection against unsollicited messages:  before you can submit your data, click the digits in the grid on the right to make the four digit verification code. verification code:

Privacy:  the data sent in this form will remain confidential;  they will be sent to one or more Committee members responsible for the destination you chose.