By the present, I confirm my interest to the 2012 Winter School – “Introduction to SPIS“ Training Course.
I understand this form is an expression of interest only, without obligation, and does not constitutes a firm registration for the 2012 Winter School – “Introduction to SPIS“ Training Course.
Please check the relevant boxes to specify your demand:
[ ] under reserves of the availability on theses cessions, I expect to register ….. students for my organization (please indicate the number of expected registered students). 
[ ] I express my interest for one “ESA student grant”, if possible. 
[ ] I can provide my own hardware (i.e. laptop) for the practical works.
Contact information:
Organisation name:
Contact name (*):
Contact e-mail (*):
Address:
Phone number:
[ ] ESA’s member country
(*) mandatory information.
Free questions/comments on the proposed program: