Seminar

Combating child sexual exploitation

at local and regional levels

9 February 2012, Strasbourg (France), Palais de l’Europe, room 5

PARTICIPATION FORM

Please complete and return this form by 6 February 2012 to Anna Onipenko

[email protected] , fax : 33 (0) 3 88 41 27 51 or 37 47

SURNAME[1] ........................................................ First Name  ...........................................................

Country.................................................................................................................................................

Organisation.........................................................................................................................................

................................................................................................................................................................

Position.................................................................................................................................................

................................................................................................................................................................

E-mail.............................................................................. Phone..........................................................

  I will participate in the Seminar

Date:                                                                  Signature:


[1]  Please use block capitals.