1. ENROLMENT FORM - PLEASE TYPE OR WRITE CLEARLY
PLEASE RETURN TO ETUI Education by 31 July 2011
to smathy@etui.org
Course: Green Jobs and Sustainable Development
Date: 13-16 September 2011
Venue: Brussels
Course reference: 1152-026
First name (not just initials, please): Ms/Mr
Family name:
Organisation (in your own language) and in abbreviation:
Trade union function and current responsibilities:
Address (work):
Address (billing):
Telephone (work):
Fax:
E-mail:
Organisation’s web site:
Affiliation: please indicate the Confederation or European Industry Federation to which your
organisation is affiliated
ETUI is financially supported by the European Union

2. ENROLMENT FORM 1152-026 Page 2
_____________________________________________________________________
Please indicate the languages participants can speak and those that can be understood
Languages spoken/Mother tongue Languages understood
Please indicate your mother tongue and other Please indicate what languages you can
languages you can speak understand
Area(s) of trade union activity:
Experience related to the course theme:
Payment of registration:
Each organisation is required to pay a direct monetary contribution to ETUI to the value of
240€ per participant. For participants from Central and Eastern European Countries this
amount is 60€.
(CEEC= Bulgaria, Croatia, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Romania,
Slovakia, Slovenia and Republic of Macedonia).
An invoice will be sent to the organisation upon confirmation of the enrolment.
We kindly ask you to pay this invoice before the start of the course.
It is essential that you mention in your payment order the number of the invoice and customer
reference number.
Date Signature
ETUI is financially supported by the European Union