Your Dietary Restrictions

Your Dietary Restrictions

<p>REGISTRATION FORM</p><p>Rail 2.0: on track to digitalisation A Rail Forum Europe dinner-debate</p><p>Sponsored by:</p><p>Renaissance Hotel Rue du Parnasse 19 Brussels</p><p>Tuesday, 5 May 2015 19:00 – 22:00</p><p>Your contact details Name </p><p>First Name </p><p>Organisation </p><p>Address </p><p>Telephone </p><p>Email </p><p>Your dietary restrictions 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) Lucy Anderson MEP, Ines Ayala-Sender MEP, Philippe De Backer MEP, Ismail Ertug MEP, Jo Leinen MEP, Boguslaw Liberadzki MEP, Tomasz Poreba MEP, Franck Proust MEP, Jozo Rados MEP, Christine Revault d'Allonnes-Bonnefoy MEP, Dominique Riquet MEP, Massimiliano Salini MEP, Andreas Schwab MEP, István Ujhelyi MEP , Wim Van de Camp MEP Executive Secretary: Leonardo Dongiovanni REGISTRATION FORM 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 100 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 80 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) Lucy Anderson MEP, Ines Ayala-Sender MEP, Philippe De Backer MEP, Ismail Ertug MEP, Jo Leinen MEP, Boguslaw Liberadzki MEP, Tomasz Poreba MEP, Franck Proust MEP, Jozo Rados MEP, Christine Revault d'Allonnes-Bonnefoy MEP, Dominique Riquet MEP, Massimiliano Salini MEP, Andreas Schwab MEP, István Ujhelyi MEP , Wim Van de Camp MEP Executive Secretary: Leonardo Dongiovanni</p>

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