Subscription form

Name

First name

E-mail address

Address

City/Town

ZIP/Postal Code

Country

UNamur alumnus

Yes ( optional )

No ( optional )

I would like to receive Omalius magazine

Paper version ( optional )

On line ( optional )

In print and online ( optional )

Comment ( optional )

In order to process your request, you must complete all fields marked "optional". When you submit this form, the completed data will be transmitted to UNamur and used to process your request. Learn more about data protection and your rights

CAPTCHA

2 + 0 = Math question

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Subscription form

I subscribe to Omalius!