1. Net@work Steering Group meeting Rome, October 25th - 26th, 2010
REGISTRATION FORM
NAME __________________________________________________
SURNAME ___________________________________________________
ORGANIZATION _________________________________________________
ADDRESS ________________________________________________________
COUNTRY ____________________ ZIP CODE ________________________
PHONE ___________________________________________________________
FAX ______________________________________________________________
___________________________________________________________
I will attend the dinner YES □ NO □
□ Special dietary requirements (e.g. vegetarian)
SIGNATURE
__________________________________
To send by or by fax at within October 14th , 2010