Agency

Envisat Symposium

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6-10 September - Salzburg
Salzburg Congress, Auerspergstasse 6

First name:___________________ Surname:_________________

Media:_________________________________________________

Address:_______________________________________________

Tel.: _____________________Fax: ________________________

Mobile: __________________E-mail: ______________________

( ) I will be attending the Envisat Symposium.

( ) I will not be attending.

Please return this registration form by fax to:
Franca Morgia
ESA/ESRIN Communications Office
Tel.: + 39.06.9418.0951
Fax: + 39.06.9418.0952