Research - Comments and contributions for the conference on Converging Technologies for a Diverse Europe.

Converging Technology for a Diverse Europe
14-15 SEPTEMBER 2004

Registration Form

THANK YOU FOR YOUR INTEREST IN THE EVENT.

There is no fee payable, but we hope you will contribute to it and be active at the event.

Declaration

I will be able to attend the Conference as above in Brussels. If for any reason I am unable to attend I will notify you at least 7 days prior to the event.

Data Protection

What will happen to the data you submit? Read our Specific Privacy Statement

Name *		Affiliation *
Address *		Country *
E-mail address *		Web site
Telephone		Fax
Do you need hotel lists?	Yes No

* mandatory entry

Location - details of the precise location will be mailed to you when these are confirmed

Your Technical Area, if any. Please cross all that apply to your interests

Nanotechnology	Biotechnology	Information society/ICT
Social Sciences	Energy	Cogno/psycho/neuro-sciences
Education	Environment	Other

Comments - if you have comments on the final report, please attach a file below; this will be reviewed and collated with other comments.

NB: only plain text, RTF, MS-WORD, and WordPerfect files are accepted

Contributions - if you have an original contribution to make to the subject matter as well as comments, please attach a file below; this will be reviewed and collated with other contributions

NB: only plain text, RTF, MS-WORD and WordPerfect files are accepted