REGISTRATION FORM

ETIS Conference 2007
Innovative Telecommunication Services & Business Models to Win New Markets
7/8 June 2007 - Brussels, Belgium
* Please note that the fields with the red stars are mandatory fields.
Participant's details
 Last name: *
 First name: *
 Company: *
 Mailing address: *
 Zip code: *
 City & country: *
 Telephone: *
 E-mail address: *
Conference fee
 Payment: The full participation fee should be paid at the time of registration.
 Cancellation policy: Your participation may not be possible due to unforeseen circumstances. We would be pleased to welcome a deputy or colleague to take your place. However, if you are forced to cancel without substituting, we will be unable to make a refund.
 ETIS Members: Free for ETIS Members, Speakers & Sponsors
 Non-Members: (early birds!!!) € 900 + 21%VAT - valid until 1 May
 Non-Members: € 1200 + 21%VAT
 Invoicing address for non members:
 VAT Number:
Payment details will be sent out together with the invoice
Venue and Hotel Details
 Venue: Management Centre Europe
Rue de l’Aqueduc 118, 1050 Brussels
 Dates: 7/8 June 2007 - Brussels, Belgium
 Hotel:

Capitol Hotel*** www.hotelcapital.be
85 euros single - 95 euros double
(Reservation code: # 369-ETIS)

White Hotel*** www.thewhitehotel.be
115 euros single - same price for double
(Reservation code: ETIS Conference)

Bristol Stephanie**** www.bristol.be
175 Euros Single 202 Euros double
(Reservation code: ETIS Conference)

* Please quote the correct reference to guarantee the special conference room rate.

Travel details
 Date and time of Arrival:
 Date and time of Departure:
Conference, Workshops and Social Events
Please indicate your participation in the following events by checking the box for yes.
Please only select one session on day 2.
Conference Day 1 - 7 June
Common session
 Executive Banquet Dinner
20:00 - 7 June
(Dress Code: Business casual)
Day 2, June 8 - Session A
Business Trends & IT Consequences
Day 2, June 8 - Session B
Billing Opportunities & Challenges
Day 2, June 8 - Session C
Information Security