Application for an engraved stone in Walk of Fame @ Wageningen Campus

Your data

Name of requesting organisation*

Name contact person*

Email*

Phone number contact person

Relationship with Wageningen University & Research*

Please explain the relation to WUR in the field below*

Motivation

Desired date of laying the tile*

Explanation of laying the tile

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I agree with the use of my personal data for the purpose detailed above. The privacy statement of WUR applies to this use of your personal data.