PRESS ACCREDITATION REQUEST FORM Receipt Date: Reg. Nr: (To be completed by the PCO) To become accredited, please submit the 13th IACC Press Accreditation Form and a clear photocopy or scanned copy of your valid professional press card. Please fill in the form in CAPITAL LETTERS and tick where appropriate. This form is for one press representative. For more representatives, please have this form photocopied. You are kindly requested to send it by fax or e-mail by 30 September to the Conference Organiser: AC&C International S.A. Professional Congress Organiser 1A Pierias St., 144 51 Athens - Greece Tel.: +30 210 6889 130 Fax: +30 210 6844 777 E-mail (Registration Department): register@13iacc.org www.acnc.gr I. PERSONAL INFORMATION Family name: First name: Title (Dr, Mr, Mrs, Ms, other): Male Female Media (Journal, TV Channel, Radio Channel, Electronic Journal, etc): Department / Position: Address: City: Post Code: Country: Telephone: Mobile: Fax: Email Address: II. ACCREDITATION PROCEDURE Confirmation of accreditation will be sent two weeks after receipt of this form. For press accreditation, a press id, belonging to the person mentioned in this form, valid at the time of the Conference is necessary. Please note that failure to present a valid press id on site the conference will result a payment of the full delegate registration fee or denial of admission in the Conference. *PLEASE ATTACH A COPY OF YOUR VALID PRESS ID* “The Organisers of the 13 IACC reserve the right at any time to change the programme or to cancel or postpone the conference. In the event of cancellation or postponement, their liability is limited to refunding any registration fee already paid. The organisers will notify registered participants at the address shown on their registration form of any decision to cancel or postpone. The organisers strongly recommend attendees take out their own insurance against any losses arising from cancellation or postponement of the conference or the inability of a participant to attend for any reason whatsoever, and they accept no liability for any loss or damage suffered by any participant or accompanying person or other person whatsoever.” th It should be noted that the data given in this form will not be disclosed to any third parties who are not directly involved in the organisation of the 13th International Anti – Corruption Conference nor will it be publicised in any other way. I hereby confirm that I have read and understood the press accreditation terms, which I accept without any reservations. Date……………………………………………………………… Signature………………………………………………………… THANK YOU FOR YOUR INTEREST