2012 EEEN forum call for contributions

If you would like to participate in the 2012 EEEN forum as a presenter or discussion leader, please complete the following:

Fields marked by a * are required.

Question Title

* 1. Name and contact information

First name:

Family name:

Organisation:

Title:

Address:

City:

Postal code:

Country:

Email address:

Question Title

* 2. Title of your contribution

Question Title

* 3. Format of your contribution (choose one)

Paper presentation (more formal)

Training / workshop

Facilitated panel

Open discussion

Other (please specify)

Question Title

* 1. Name and contact information

Question Title

* 2. Title of your contribution

Question Title

* 3. Format of your contribution (choose one)

Question Title

* 4. Abstract of your contribution (250 words or less)