Registration and Accommodation Reservation Form

I plan to attend the 4th East Asian Women’s Forum

Last Name:_________________First Name: ____________________

Sex:____Passport No:______________Nationality:_____________

Org./Institution:__________________________________________

Address:__________________________________Country:_________       

Tel(O):______________Fax:_____________Tel(H):______________

E-mail:_________________for Nametag: _______________________

Fees :

Registration Fee US$50.00 per person

Double Room : US$150.00/per person/4 days/11 meals included

Payable to : The General Assembly of The Presbyterian Church in Taiwan

Special Diet Request

Vegetarian_____Other(please specify) ___________________

Special Facilities Request___________________________________________________

Arrival Date: _________________Airline: _________________

    Flight No.: _________________Time_________________

Departure Date: _________________Airline: _______________

    Flight No.: _________________Time_________________

I wish to attend the following workshops

(please check in order of preference)

Workshop( 1st day)

____Women and Development ____Women and Human Rights

____Women in Power and Decision Making

Workshop(2nd day)

____Women and Education ____Women and Health

____Women and Culture ____Women and the Environment

____Youth Forum

My organization is interested in organizing/sponsoring/Workshop

Title: ____________________Name of convenor: ________________

I plan to contribute a paper on the topic

I will need a space for Exhibition / Display / Bazaar Booth

Equipment e.g. ____VCR; ____Slide Projector; ____OHP; ________

Registration Deadline : 15 June, 2000

Essay Deadline : 15 July, 2000

(http://4eawf.frontier.org.tw/ for Guidelines)

Please complete the form and send to:

The 4th East Asian Women’s Forum Steering Comm.

Secretariat: No. 3, Lane 269, Roosevelt Road, Sec. 3

Taipei 106, TAIWAN

Tel:(886)2-23625282 ext.253 Fax:(886)2-23628096

E-mail:women@mail.pct.org.tw

http://4eawf.frontier.org.tw

106台北市羅斯福路三段269巷3號

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