ESA - Observing the Earth - Accreditation form

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International Symposium on Radar Altimetry in Venice

Accreditation form

Media representatives wishing to attend are kindly requested to complete the attached accreditation form and fax it to:

ESA-ESRIN Public and Institutional Relations Office
Fax: +39 06 941 80 352

CNES Press Office
Fax: +33 1 447 67 816

First Name:___________________Surname:__________________

Media: _________________________________________________

Address: _______________________________________________

_______________________________________________________

Tel:______________________Fax:__________________________

Mobile: __________________e-mail:________________________

[ ] I will be attending.

[ ] I will not be attending.