The fields marked with (x) are required:

Gender: (x)

Sir

Madam

Surname (x)
Name (x)
Organization
Function
Telephone	(Coloque o indicativo internacional: França 0033, Espanha 0034, Portugal 00351)
Address
Postal Code(x)
City (x)

Country (x)

France

Spain

Portugal

UK

Other

E-mail Address (x)

Confirm your e-mail address (x):

Are you a coordinator or partner of an INTERREG III B SUDOE Programme approved project? (x)

Yes

No

If so, which?

Are you planning to present and/or participate on a project application for the SUDOE project for 2007-2013? (x)

Yes

Maybe

No

I prefer to follow the speaking interventions and the debates in the following language: (x)

French

Spanish

Portuguese

I will participate in the plenary sessions scheduled for: (x)

Monday morning, 12th May

Monday afternoon, 12th May

Tuesday morning, 13th May

I will participate Monday afternoon, 12th May, in the following workshop: (x)
There is only one possible answer (the workshops take place simultaneously) 

Workshop I: Information Technology and Networks of Knowledge

Workshop II: Citizens, Regions, Accessibility and Knowledge Society

Workshop III: Corporations, Innovation and Competitiveness

I will attend the:
 Monday, 12th May lunch

I accept my data to be disclosured to the other Conference participants
 Yes (your data will be featured on the participant list that will be handed out in the conference)
 No (your data will not be featured on the participant list that will be handed out in the conference)