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Application for Free Software as a Social Innovation

Thank you for your interest in attending the Free Software as a Social Innovation event in London the 2nd of November 2007. The event will be hosted at The Hub on 5 Torrens Street. For more more information about the event itself you can go to the Free Software as a Social Innovation page.

Please submit this application before the 19th of october!

Contact details

Name:

Address:

Email:

Phone:

Organisation details

If you would be attending this event as a representative of a particular organisation, please fill in the requested information below.

Organisation name:

Your position in the organisation:

Organisation type:

(ie, NGO, company, government)

Motivation for attending

We'd like to know a few things about why you'd want to attend this event and how it would help you. Please explain briefly how your participation at the event would benefit you or your organisation, and how you would be able to disseminate what you learn to others in your own field or geographic area.

Travel and accommodation expenses

If you need help to pay for your travel and accommodation expenses, we can reimburse a reasonable amount for this. In order to be reimbursed, you are required to present us with receipts of the expenses. Please fill out how much you expect to pay for your trip below. If your actual costs would turn out to be higher than this, you need to ask us specifically for this.

Please provide the expenses in Euros. If you have expenses other than travel and accommodation (for instance visa fees), please give the amount and details in "Other expenses".

Travel expenses:

 EUR

Accommodation expenses:

 EUR

Other expenses:

Please do not put anything in here: