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Contact Information:

Name:*
Organization:
Email:*
Telephone:*
Address:
Place:
Country:
With this form you can registrate for the conference and / or let us know your interests/ suggestions. At the bottom of the form you will find the send button.

Join Conference

Focus-meeting

Indication of your interests

Location: ss Rotterdam, te Rotterdam
(Please don’t forget to mention your invoice address above) Pricing:*
Pricing:*
€375,= (ex. VAT) discount for members / employees of ambassador organizations.
Ambassador organization:
I have an invitation from a sponsor / partner.
Name sponsor / partner:
€ 450 (ex. VAT) standard price
€ 395 (ex. VAT) early bird price. Applies to bookings for April 12, 2010
€ 100 (ex. VAT) student (Only with student card and a motivation is required. The organization holds the right to refuse to participate at this rate.)
My motivation:
The payment must be made at least 2 weeks before the conference.
I'm interested to be a speaker in one of the break-out sessions (Please also mention lower your interest areas)
My motivation:
Location: ss Rotterdam, in Rotterdam

The focus-meeting is by invitation only.

I would like to nominate someone for the focus-meeting. (Do you want to nominate several people, please fill in for each person a separate form.)
 
This person is in my opinion a:
High Profiled Professional
High (Young) Potential
Knowledge area:
My Motivation:
High Profiled Professional
High (Young) Potential
My Motivation:
Becoming a PARTNER of the program.
To SPONSOR the program.
Becoming a AMBASSADOR of the program.
Having a STAND / EXHIBITION space on May 12 to have.
To organize a ROUND TALE.
To participate in the online MESHWORK/MARKTPLAATS.
To stay over / have hotel room on the ss Rotterdam.
We like to know in what areas you are particularly interested. My interest areas are:
Energy Efficiency and Energy
Population pressure on land and water and restoration of biodiversity
Urban renewal
Food(production)
Eradicating poverty and stabilizing World population
Mobilizing society: economic and attitude change
We like to know what organization role(s) is / are applicable:
Investor
Government
Regulator
Business
Non Governmental Organization
Knowledge Institute
Facilitator