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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