NESSIE PIB MEETING, Munich, November 7, 2002
NESSIE - PIB Meeting
Siemens AG, CT IC 3
Otto-Hahn-Ring 6
D-81730 Munich, Germany
FAX: + 49 89 6 36-4 80 00
Complete and print this form, and fax to:
Germany + 49 89 6 36-4 80 00
PIB REGISTRATION
FORM
Name: ________________________________________________________
Affiliation:_______________________________________________________
Department:_____________________________________________________
Street:_________________________________________________________
Postal Code:________________ City:________________________________
Country:________________________________________________________
eMail:__________________________________________________________
Phone:__________________________ FAX:___________________________
Do you are a member of the NESSIE Project Industry Board? (Yes,
No): _______
Would you like to have lunch at the Siemens site on November 7? (Yes, No):
_____
I want to register for the NESSIE PIB Meeting in Munich, November 7, 2002.
Date: _______________ Signature: _______________________________