this form should ONLY be filled in for meetings hosted by ETSI in the Nice/Sophia-Antipolis area.
For other meetings please contact the organiser. Information provided on the meeting invitation

Title: *

First name: *

Surname *:

     

Company name: *

Full address: *

Zip code: *

City:*
         

Country: *

State:

Phone: *

     
Mobile: * Email: * Fax: *
     
Have your contact details changed recently (less than 6 months) *
 

 Technical Body/Plugtests/Workshop: *

From: *

Day Month Year  Location *
   
To: * Day Month  Year