Quantum City Prize Registration

City name: *

Country: *

City size category (select one): *

Less than 100000 inhabitantsBetween 100000 and 1000000 inhabitantsMore than 1000000 inhabitants

Primary contact person: *

Affiliation: *

E-mail address: *

Telephone number:

Individual web page:

Entities involved, including their web sites:

Tentative title of the initiative: *

Tentative dates of implementation: *

Tentative location: *