<p>REGISTRATION FORM</p><p>Deteriorating international rail links – What can be done? A Rail Forum Europe breakfast-debate</p><p>Sponsored by:</p><p>Hotel Leopold Rue du Luxembourg 35 Brussels</p><p>Wednesday, 28 January 2015, 8:00 – 9:30</p><p>Your contact details & access to the European Parliament Name </p><p>First Name </p><p>Date of Birth </p><p>ID Number </p><p>Nationality </p><p>Organisation </p><p>Address </p><p>Telephone </p><p>Email </p><p>Rail Forum Europe AISBL Avenue Louise 221, B-1050 Bruxelles</p><p>Managing Board: Michael Cramer MEP (President), Gesine Meissner MEP (Vice-President), Georges Bach MEP (Vice-President) Ines Ayala-Sender MEP, Philippe De Backer MEP, Ismail Ertug MEP, Jo Leinen MEP, Boguslaw Liberadzki MEP, Dominique Riquet MEP, Andreas Schwab MEP </p><p>Executive Secretary: Leonardo Dongiovanni REGISTRATION FORM</p><p>Your dietary restrictions In case you have any dietary restrictions, please let us know here below:</p><p>Participation fee Please tick the relevant box below: Full Member of Rail Forum Europe* (MEPs Free only)</p><p>Associate Member of Rail Forum Europe* Free for up to two participants per Associate (Stakeholders) Member</p><p>Other MEPs, EU and national officials, Free Journalists</p><p>Other participants EUR 50 payable at the door in cash only</p><p>*If you wish to become a Member, please contact: [email protected].</p><p>Please note that participation is limited to 60 participants! Places are allocated on a first-come, first-served basis.</p><p>Please complete this form and return by e-mail: [email protected]</p><p>Rail Forum Europe AISBL Avenue Louise 221, B-1050 Bruxelles</p><p>Managing Board: Michael Cramer MEP (President), Gesine Meissner MEP (Vice-President), Georges Bach MEP (Vice-President) Ines Ayala-Sender MEP, Philippe De Backer MEP, Ismail Ertug MEP, Jo Leinen MEP, Boguslaw Liberadzki MEP, Dominique Riquet MEP, Andreas Schwab MEP </p><p>Executive Secretary: Leonardo Dongiovanni</p>