CONFERENCE REGISTRATION FORM: STEP 1

IPRA 2008 global conference
Building sustainable futures: enacting peace and development

Please note that this is how you will be indicated on your badge and the list of participants.

Date: 15-19 July 2008
Place: Leuven, Belgium

Step 1: Participant Information

  1. Family Name:
  2. Title:
  3. First Name:
  4. Organisation:
  5. Address:
  6. Postal Code:
  7. City:
  8. Country:
  9. Telephone:
  10. Fax:
  11. Email:
  12. Have you submitted a proposal for the conference?
    Commission/working group:
  13. If no, please indicate whether you need visa to travel to Belgium (please give details of your full name, passport number, date of issue and date of expiry, your address):
  14. Please list any special needs:
  15. If registering at the Student Rate, please provide ID Number:

Proceed to Step 2