1. ETUI EDUCATION ENROLMENT FORM PLEASE TYPE OR WRITE
CLEARLY
Please return to ETUI Education by 20th August 2012 to eberger@etui.org
Course: Trade unions’ role in fighting against inequalities
Date: 18 to 21 September 2012
Venue: Riga, Latvia
Course reference: 1252-031
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):
Billing address (invoice for inscription fee):
Affiliation: please indicate the Confederation or European Industry Federation to which your
organisation is affiliated
Telephone (work):
Fax:
E-mail:
Organisation’s web site:
ETUI aisbl is financially supported by the European Union

2. ETUI EDUCATION ENROLMENT FORM 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:
A direct monetary contribution (enrolment fees) to ETUI Education activity is required per
organisation, per working day. For three working days seminar a fee of 240 € is applied to EU
organisations and Iceland per participant and 60 € for Central and Eastern European
Countries organisations and Turkey per participant.
(CEEC= Bulgaria, Croatia, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland,
Romania, Slovakia, Slovenia, Former Yugoslavian Republic of Macedonia, Serbia and
Montenegro.)
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.
Please note that in case of cancellation of participation 5 days before the
beginning of the course, no refund shall be granted (the total amount of
respectively 240 € or 60 € will be invoiced).
It is essential that you mention in your payment order the number of the invoice and customer
reference number.
Date Signature
ETUI aisbl is financially supported by the European Union