WISE REGISTRATION FORM

 

CONTACT INFORMATION (will be kept confidential for internal use only)

Company/Organisation:
First Name:
Name:
Street address, postal code and city:
Country:
Phone No.:
Fax No.:
E-mail:
Website:

PLEASE TICK ALL BOXES TO INDICATE YOUR AGREEMENT:

  Yes, I would like to receive News on WISE
Yes, I agree to respond to the questionnaire that will be sent to me (scheduled for January 2006)
Yes, I would like to participate actively in the SIG (starting January 2006)
Yes, I want to be informed about the workshops and trial phase for potential participation (starting June 2006)

Should you require additional information, please feel free to contact us