The original signed form should also be returned to:
ERIK - Brussels Office c/o
Regione Toscana Brussels Office
Rond Point Schuman 14,
1040 Brussels

1. Observer Details:

Organisation:

Country:

Address of the Organisation:

Web-site address:

Contact Person within the Organisation

Name: Role: Telephone: Fax: E-mail:

Legal Status:

2. Regional Contact Details:

Name of the Regional Authority and Department responsible for the Innovation programmes (if different from the references provided above):

Country:

Address:

Web-site:

Name of Signatory:

Title and Position of Signatory:

Contact details of Signatory:

Organisation: Address: Telephone: Fax: E-mail:

Contact Person within the Regional Authority:

Name: Role: Telephone: Fax: E-mail:

Erik Observers' duties and obligations ERIK Observer commits himself to take part in the network activities and to foster the implementation of the Project, namely: provide the required regional data and information necessary to the preparation of ERIK newsletters and to the inclusion of regional profiles on the ERIK web site; participate to ERIK network activities, namely workshops, conferences, policy forum and study visits; participate to the dissemination of the Project results. ERIK Observer is entitled to: receive all the information concerning project activities and results; The Observer will carry out the above mentioned activities on a self-financing basis for the Project life span. No participation fee for the network activities will be charged.