MEDIA ACCREDITATION FORM
PrepCom 3 Tunis Phase,19 - 30 September 2005Palais des Nations, Geneva, Switzerland
To be completed after reading the accreditation procedure available here
* = Mandatory
* PERSONAL CONTACT DETAILS1 A minimum of 1 of the following 4 fields is required.
PUBLICATION / MEDIA DETAILS
PUBLICATION / MEDIA CONTACT DETAILS1
* MEDIA CATEGORY
FAST TRACK ACCREDITATION DETAILS
1 ITU publishes the information provided on this form on the WSIS website. If you do not wish your contact details to appear, please tick this box
Note: By default accredited media are placed on the ITU media information mailing list. Should you not wish to continue to receive ITU media information releases after this event please check the following box.