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.
