registration form

Conference – debate

THE PARTICIPATION OF WOMEN IN POLITICAL LIFE AND THEIR TRAINING IN THE NEW EUROPEAN LANDSCAPE

EFTA conference room – 74 rue de Trèves 1040 Brussels - 27 March 2000

REGISTRATION FORM

Name ______________________________ First name _____________________________

Function _______________________________________________________________________

Address ____________________________________________________________ N° _______

Postcode _________ City ______________________ Country ____________________

0 will participate

0 will not participate

in the conference-debate organised by the Network of Local Elected Women of the Belgian Union of Cities and Municipalities on Monday 27 March 2000.

0 will

0 will not

have lunch for which I will pay the amount of BEF 250 (euro 6) by bank transfer to account n° 091-0015852-70 at the Crédit Communal. Please mention your name and the communication : " Conference 27 March 2000 ".

Please send this registration form by fax or by mail

before 17 March 2000 to:

Belgian Union of Cities and Municipalities
Attn : Isabelle Moine
53 rue d'Arlon - box 4 - 1040 Brussels
Tel: (32-2) 233 31 21 - Fax: (32-2) 231 15 23
e-mail: vbsg@pop.kpn.be