|
 ACCREDITATION
FORM
High Level Conference 'Energy in Motion'
Renaissance Hotel and
Westergasfabriek, Amsterdam
19-20 October 2004
|
| Please
return the completed accreditation form before October 5,
2004 to the Dutch EU presidency (Ministry of Transport, Public Works
and Water Management) by submitting this form. You can also download
this form and send it by post (see letter) or by fax (+31 70 351
6019). |
|
GENERAL
INFORMATION
|
| Participant
Please complete (or change if not correct) |
| Organization
/ Company |
|
| Title |
|
| First
and last name |
|
| Position |
|
| E-mail |
|
| Date
of birth |
|
| Place of birth |
|
| Nationality |
|
| Passport
nr. or national ID-card nr. |
|
| Date
of issue |
|
| Place
of issue |
|
| Credit
Card nr. and exp. date |
|
| Partner |
| First
and last name |
|
| Date
of birth |
|
| Place of birth |
|
| Nationality |
|
| Passport
nr. or national ID-card nr. |
|
| Date
of issue |
|
| Place
of issue |
|
|
HOTEL
INFORMATION AND RESERVATION
|
Name
of Hotel
(night of October 19 paid by Dutch EU presidency) |
Renaissance
Hotel, Amsterdam |
Please
reserve more room nights
(I will settle the costs at the hotel, appr. € 250, -per room) |
|
Please
reserve the following extra room nights
(please fill in de data, separated by comma's) |
2004 |
| Date
of arrival |
2004 |
| Date
of departure |
2004 |
| Smoking
/ Non smoking room (if available) |
|
| Vegetarian/diet |
|
| Other
health wishes |
|
|
ARRIVAL
INFORMATION
|
| Date
of arrival |
2004 |
By
plane
(conference representatives will be present at Schiphol Airport
Amsterdam on arrival day) |
| Airport
of arrival |
|
| Flight
number |
|
| Time
of arrival |
hours
|
| By
train |
| Train
station of arrival |
|
| Time
of arrival |
|
| By
car |
| Time
of arrival |
hours
am
pm |
| Name
contact person car |
|
| Tel.
nr. contact person car |
|
| License
plate of the car |
|
| Chauffeur |
|
| Parking
place in hotel garage |
|
|
DEPARTURE
INFORMATION
|
| Date
of departure |
2004 |
| By
plane |
| Airport
of departure |
|
| Flight
number |
|
| Time
of departure |
hours
am
pm |
| By
train |
| Train
station of departure |
|
| Time
of departure |
|
| By
car |
| Time
of departure |
|
|
CONFERENCE
PARTICIPANT ATTENDENCE
|
| October
18, 2004 |
Afternoon:
Shuttle bus from ENAP-conference in Scheveningen to Amsterdam |
|
| Evening:
Pre-conference welcome drink |
|
| October
19, 2004 |
Morning:
Shuttle bus
Schiphol Airport – Renaissance hotel |
|
| Evening:
Dinner/Canal Cruise |
|
| I
will attend the dinner with my partner |
|
|
Afternoon:
Partner
programme to Amsterdam
|
|
| October
20, 2004 |
Afternoon:
Shuttle bus
Westergasfabriek – Renaissance Hotel |
|
Afternoon:
Shuttle bus
Westergasfabriek – Schiphol Airport |
|
Afternoon:
Shuttle bus
Renaissance Hotel – Schiphol Airport |
|
Partner
Programme to Amsterdam
|
|
|
ADDITIONAL
INFORMATION
|
|
|
| Date
|
2004 |
|
Return
to conference page.
|