The bombing of Gernika

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• Participation form

Participation form

Name * Surname1 * Surname2 Adress Telephone * Place of Birth *

Date of Birth *

Day Month Year

ANSWER THE QUESTIONS FOUND BELOW WITH AN X :

Were in Gernika on the day of the bombing?*

YES NO

What age were you on the day of the bombing?*

MONTH YEARS

Do you remember with clarity your experience?*

YES NO

Would you be willing to recount your experiences on the TV, radio, in the press et.?*

YES NO

DO you want to continue receiving the information that we send you?*

YES NO

Have you attended lunches of the survivors of the bombing of Gernika
any other years?*

YES NO

Finally we would be grateful if you could write any comments or suggestions below.

Comments

Furthermore this questionnaire can be handed in personally or sent by post to the following address, Gernika Gogoratuz: Artekalea, 1 - 1^o. 48300 Gernika-Lumo.