NEURO-IT APPLICATION FORM













			What is Neuro – IT • Neuro – IT Roadmap • Summer schools & lectures • Workshops • Neuro – IT related links • EU projects in Neuro – IT • Mailings list archive • Members • Contact Layout & Design: dtp & www

Application for NeuroIT.net membership

Are you involved in European projects ? (optional)
Institute or Company name:
Department:
Address:
City:
Postal code:
Country:
telephone number:
fax number:
URL:
Name contact person:
e-mail address:
Permission to publish your e-mail address?	Yes
	No
EU project 1:
project URL 1:
EU project 2:
project URL 2: