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
ħ
Vegetarian_____Other(please specify) ___________________Special Facilities Request
___________________________________________________Arrival Date:
_________________Airline: _________________¡@¡@¡@¡@
Flight No.: _________________Time¡G_________________Departure Date:
_________________Airline: _______________¡@¡@¡@¡@
Flight No.: _________________Time¡G_________________I wish to attend the following workshops
(please check in order of preference)
Workshop( 1st day)
____Women and Development
ħ____Women and Human Rights____Women in Power and Decision Making
Workshop(2nd day)
____Women and Education
ħ____Women and Health____Women and Culture
ħ ____Women and the Environment____Youth Forum
ħ My organization is interested in organizing/sponsoring/Workshop
Title: ____________________Name of convenor: ________________
ħ I plan to contribute a paper on the topic
ħ I will need a space for Exhibition / Display / Bazaar Booth
ħ 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.tw106¥x¥_¥«Ã¹´µºÖ¸ô¤T¬q269«Ñ¢²¸¹