REGISTRATION FORM

 

ENAR Training Seminar on the

EQUAL Initiative’s Second Round

 

Brussels, 11-12 June 2004

 

Venue

ENAR , Rue de la Charité 43, 1210 Brussels
phone: +32 (0) 2 229 35 77

fax: +32 (0) 2 229 35 75

www.enar-eu.org

 

Please read the enclosed information sheet carefully then complete this form and return as follows:

 

Please support your Board Member by typing in your details in the form below and sending it by 18 May 2004 at the latest to the Board Member of your country by fax only (fax no. are listed in the information sheet). Costs can be covered by ENAR only for one participant from each co-ordination. In case of registration of more than one person a final choice concerning reimbursement will be made by the co-ordination. Other interested persons are most welcome to attend at their own costs.

 

 

Name of the Board member: _____________________________________________

 

 

Family / Last Name:
First Name:
Function in your NGO:			ٱ Female
			ٱ Male
Full name of the organisation and abbreviation:
Specification of your area of work:
Preferred language for preparation documents	ٱ English	ٱ French
Mailing address for documentation material:	Street: Postal Code & Town: Country:
Tel. (with relevant codes):
Fax:
E-mail:

 

 

 

 

 

 

 

HOTEL ARRANGEMENTS: Please indicate below whether you would like ENAR to reserve accommodation for you at the Hotel DORINT, Boulevard Charlemagne 11-19, 1040 Brussels.

 

A block booking will be made by ENAR.

 

All participants to specify:

 

ٱ Please reserve a single room at the Hotel DORINT on Friday 11 June 2004

ٱ No, I will arrange my own accommodation.

 

                                                    

MEALS: Only meals stated in the program will be covered by ENAR.

 

 

DIETARY REQUIREMENTS: Please indicate below if you have any special dietary requirements:

 

ٱ Vegetarian                                                      

ٱ Other: __________________________________________________________________

 

 

SPECIAL NEEDS: Please indicate below if you have any special requirements or needs (disability, religion, visa, etc.):

 

 

I have read the enclosed ‘Information Sheet’, agree with the conditions outlined and hereby confirm my participation at the seminar as specified in the registration form.

 

With my signature I certify that the information and training, which I will receive during this seminar, will add value to the work of my co-ordination and will be made available to other people.

 

 

Date:

Place:

Signature:

 

 

If you need any further information, please do not hesitate to contact Myriam De Feyter, team.enar@skynet.be.