Registration form Stakeholder Conference ACROPOLIS I would like to attend the “Stakeholder Conference ACROPOLIS” to be held at Brussels on October 15th, 2013. The Stakeholder Conference starts at 9:00 h and will end around 17:00 h. Name: ___________________________________________________________ Institute / Company: ________________________________________________ E-mail: ___________________________________________________________ Tel: _____________________________________________________________ We will send practical information and confirmation of the registration after September 24th, 2013. We will invite representatives from regulators, NGOs, pesticide industry, national food authorities, EFSA and the European Commission to the conference. Please note that the conference is limited in the number of persons that can attend, but hopefully we are able to have a good representation of Europe and of the different stakeholders. We assume that you take care for your own hotel and travel. However if you need help, please let us know. You have to cover the costs for travelling and accommodation yourself. Please mail or fax this registration form before September 24th, 2013 to Mrs. Bertha Remkes National Institute for Public Health and the Environment (RIVM) Email: bertha.remkes@rivm.nl Fax: +31 30 274 2470