UNIVERSITY NETWORK
OF THE
EUROPEAN CAPITALS OF CULTURE

Membership form

New Institutional Member Information

Name of Institution:…………………………………………………………………………...

Address:………………………………………………………………………………………..

Telephone:……………………………………Fax:…………………………………………..

E-mail:………………………………………..Web site:……………………………………..

Rector/President

Name and Title:………………………………………………………………………………..

Address:………………………………………………………………………………………..

Telephone:……………………………………Fax:…………………………………………..

E-mail:………………………………………..

Contact person for UNEECC

Name and Title:…………………………………………………………………………………

Address:………………………………………………………………………………………...

Telephone:……………………………………Fax:……………………………………………

E-mail:………………………………………..

Head of International Relations Office

Name and Title:…………………………………………………………………………………

Address:…………………………………………………………………………………………

Telephone:……………………………………Fax:……………………………………………

E-mail:………………………………………..

Brief description of Institution

Please list major Faculties or Colleges in your Institution:

Please write a brief description of your Institution:

Please send your completed form to:

Gyöngyi Pozsgai,
Secretary General

UNeECC Secretariat
University of Pécs
Tel: +36 72 501-500/2418
Fax: +36 72 251-508
e-mail: pozsgai.gyongyi@pte.hu

MarkCon 2007