Mr/Mrs/Dr/Prof.:                              form     First Name:   Family Name:   Institution:   Position:   Address:   City:   Zip Code:   Country:   Telephone:   Fax:   Mobile:   Email:

WORKSHOPS PARTICIPATION

There are four workshops taking place simultaneously in rooms with limited capacity.

Please indicate your preference by entering 1 to 4, where A= first choice, B= 2° choice, C= 3° choice, D = last choice.

A)      MENTAL HEALTH & COMMUNITY CARE: Thursday 24/01, from 16:00 to18:30h

WKSP A.1  Mental Health & Community services: prevention,                              treatment, care. WKSP A.2   Net/Co- working: how can health and social services                              work together WKSP A.3  Outreach, method & aptitude : outreach services in                              the community WKSP A.4  Health and Mental Health: services & access for                              homeless /migrants

B)      MENTAL HEALTH & WORK - MIGRATION - Friday 25/01 from 11:00h to13:00h

WKSP B.1   Participation No homeless inclusion, no migrants                               integration without  active PARTICIPATION WKSP B.2   Housing : one of basic step for process of inclusion                              & integration WKSP B.3  The Job : for participative inclusion and sustainable                               integration WKSP B.4  Social cooperatives:job rehabilitation and                              empowerment

METHODE of PAYEMENT:  I send by bank transfer the amount o

   50 €     member of SMES-EUROPA              before the   20/01

  70 €    participant no SMES Member        before the   20/01

100 €    new Member special offer:           50€ Membership fee -50 € Registration

100 €     registration fee for all participant   after the    20/01

free         of charge  a special agreement with organisers

PAYMENT FEE: Bank transfer to SMES-EUROPA a.i.s.b.l.,           please NO payement with a credit card.
Account      035-5024181-10            titular :  SMES-EUROPA a.i.s.b.l.,
IBAN :         BE41 0355 0241 8110,             SWIFT or BIC: GEBABEBB 
Banque :    Fortis Bank - Ag. Lepoutre Av. Louis.Lepoutre 68 -B-1050 Brussels,
Motivation: 10th Conference SMES-EUROPA