EASE India: Writing Retreat

Title:*
—Please choose an option—MrMrsMsMissDrProfessorOther

First name:*

Last name:*

Gender:
—Please choose an option—ManWomanNon-binary/otherPrefer not to disclose

Organisation:
If you’re a student, please put the name of your academic organisation.

Job title:

Country:
— Please select —AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChannel IslandsChileChinaColombiaComorosCongo, Dem. Rep.Congo, Rep.Costa RicaCote d’IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgypt, Arab Rep.El SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambia, TheGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong Kong SAR, ChinaHungaryIcelandIndiaIndonesiaIran, Islamic Rep.IraqIrelandIsle of ManIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Dem. People’s Rep.Korea, Rep.KosovoKuwaitKyrgyz RepublicLao PDRLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR, ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesia, Fed. Sts.MoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)Slovak RepublicSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSt. Kitts and NevisSt. LuciaSt. Martin (French part)St. Vincent and the GrenadinesSudanSurinameSwedenSwitzerlandSyrian Arab RepublicTaiwan, ChinaTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuela, RBVietnamVirgin Islands (U.S.)West Bank and GazaYemen, Rep.ZambiaZimbabwe

Email:*

I am happy to continue receiving information from EASE after my free membership trial has ended
—Please choose an option—YesNo

I am happy to receive information from Editage/Cactus Communication from time to time
—Please choose an option—YesNo

I accept the terms and conditions of course registration.