Final Meeting
12 and 13 February 2014 – Brussels
th
th
REGISTRATION FORM
Please use capital blocks or type and return it as soon as possible to
Ms Ilaria Trudu [email protected] and Ms Giulia Breda [email protected]
I. PARTICIPANT
FIRST NAME:
LAST NAME:
II. CONTACT DETAILS
ORGANISATION
ADDRESS:
TYPE OF ORGANISATION
(national federation, regional union,
cooperative enterprise, EU official, other)
POSTAL CODE:
CITY:
COUNTRY:
TEL.
MOBILE PHONE FOR URGENCY:
FAX:
E-MAIL
I confirm that I will attend:
 13th February, Final Meeting