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PRESS ACCREDITATION
1. Personal Details
Salutation
*
/Title:
Mr.
Ms.
Prof.
Dr.
Surname
*
:
Given Name
*
:
Organisation / Medium
*
:
Occupation:
*
:
please select
Editor
Press Photographer
Cameraman
Other
Other:
Employment:
*
:
Employee
Freelance
Postal Address
*
:
Postcode
*
:
City
*
:
Country
*
:
please select
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Barbados
Belarus
Belgium
Bermuda
Bosnia Herzegovina
Brazil
Bulgaria
Burundi
Cameroon
Canada
Cayman Islands
Central African Republic
Chile
China
Colombia
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Deutschland
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Georgia
Ghana
Great Britain
Greece
Grenada
Guatemala
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Latvia
Lesotho
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malaysia
Mauritius
Mexico
Moldova
Monaco
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Netherlands
New Zealand
Nicaragua
Nigeria
North Korea
Northern Ireland
Norway
Oman
Pakistan
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saudi Arabia
Schweiz
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
St Lucia
Sudan
Surinam
Sweden
Syria
Tadjikistand
Taiwan
Tanzania
Thailand
The Gambia
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Uganda
Ukraine
United Arab Emirates
United States
Uruguay
US Virgin Islands
Uzbekistan
Venezuela
Zambia
Zimbabwe
Phone:
Fax:
E-Mail-Address
*
:
2. Presscard
Issuer:
Membership number:
3. Kind of publication
*
News agency
Newspaper
Magazine
TV
Radio
Online - Web address:
4. I will participate on
*
:
Wednesday 3 March
Thursday 4 March
Friday 5 March
*
I would like to confirm my accreditation to the Galileo Application Days
Obligatory fields are marked with
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Sponsored by:
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