[asia-apec 709] APPA invitation & registration package

[appasec]

REGISTRATION FORM 
----------------- 

Title: -----------------------------------------------------------------
Fullname(Ms./Mr./others) :----------------------------------------------------------
Preferred nametag name :---------------------------------------------------------
Organization:---------------------------------------------------------------------------
Acronym :-----------------------------------------------------------
Contact Adderss :--------------------------------------------------------------------
Mailing Address : --------------------------------------------------------------------
E-mail : --------------------------------------------------------------
Fax: -------------------------------------------------------------------
Tel : -------------------------------------------------------------------
Short description of Organization : ---------------------------------------------

--------------------------------------------------------------------------------------------------------------------

Emergency contact :-----------------------------------------------------------------
Name : ---------------------------------------------------------------
Address : -------------------------------------------------------------------------------
Tel : -------------------------------------------------------------------
Do you require assistace in obtaining a visa?  (Yes/No)
Do you  require financial support? (Yes/No)
(If Yes, please complete the sponsorship request form)
Will you require translation?  (Yes/No)
In which language :------------------------------------------------
(Note : translation may not be available)
Do you  have any special medical requirements/allergies? (Yes/No)

The following 16 Issue/ Sector Forums will take place during APPA. your
registration with APPA entitles you to participate in any of any of these foums.

6-10 Nov
Women's Conference (Nov 8-9)
Student & Youth (Nov 7-10)
Indigenous Peoples (Nov 6-7)

11 Nov
Consumer
Environment & Forestry

11-12 Nov

Privatisation & Financial Deregulation
Food Security & Agriculture
Strategies of Peasant Movements
Globalisation & Children
Media
Community Livelihood
Urban Poor
Labour
Migrant Labour
Human Rights & Democracy


Please select the Issue/Sector Forums you wish to register with according to priority. You cannot select forums where the dates overlap.
1. -------------------------------------
2. -------------------------------------
3. -------------------------------------

Will you be participating the plenary? (Yes/No)

The registration fee APPA is US$50. This fee entitles you to paticipate in
all issueand sector forums, the plenary, and all other APPA activites
(cetain exceptions may apply).

A cheque or money order is enclosed oeder is enclosed with my registration? 
(Yes/No)
  
Thank you for registering with APPA. The Secretariat or the relevant
Issue/Sector Foum coordinators will contact you shortly about the programme
of events, travel and accommodation logistics, and financial sponsorship.
l The closing date of registration and payment of registration fee is
October 23. Pleasa send the completed registration forms to APPA
secretariat and make all payments to LRC Communication. If your payment is
not recived with this registration, please make cash payment at the on-site
registration counter on November 10 before the opning ceremony of APPA.   
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APPA SPONSORSHIP FORM
-------------------------
1. Name:---------------------------------------------------------------------------
2. Organization:------------------------------------------------------------------
3. Position: -----------------------------------------------------------------------
4. Address: ----------------------------------------------------------------------- 
5. Tel : ------------------------------------------------------------------------------ 
6. Fax: ------------------------------------------------------------------------------
7. E-mail : -------------------------------------------------------------------------
8.  Which forums are you participating?
a. --------------------------------------------------
b. -------------------------------------------------- 
c. --------------------------------------------------
9. Period os stay : From : ----------------------  To  ------------------------
10. I need sponsorship for:
a. Registration fee  (Yes/No)
b. Travel Expenses  (Yes/No) Amount:------------------------------------
c. Accomodation and will be arranged by the secretariat (Yes/No)


------------------------------------------------------------------- 
For Secretariat Use Only
a. Regestration Fee Amount: US 50
b Travel Expenses Amount: 
c Accommodation (Arranged by the secretariat) Amount:

                    Total
Sponsored by:-----------------------------------------------
Approved by: ---------------------------------------------
Date----------------------------------- 



---------------------------------------------------------------------
APPA ACCOMMODATION REQUEST FORM

1. Name : -----------------------------------------------------------------
2. Nationality : -----------------------------------------------------------
3. Sex?: -------------------------------------------------------------------
4. Address : ---------------------------------------------------------------------------------
5. Tel : --------------------------------------------------------------------- 
6. Fax: ---------------------------------------------------------------------
7. E-mail : ----------------------------------------------------------------
8. Period os stay : From : ---------------------------- To ----------------------------- 
9. Which forums are you participating?
a. ------------------------------------------------------
b. ------------------------------------------------------
c. ------------------------------------------------------

10. Payment :
a. I will pay for my accommodation and please book a room for me:
i. Single Room
ii. Twin Sharing Room

Range of room charges
i. Below US$15
ii. US$15-US30
iii. US$30-US$40
iv. US$40-US$60
v. Above US$60

----------------------------------------------------------------------

For Secretariat Use Only
Accommodation Venue------------------------------------
Period of Stay : From --------  To  -------------------
Payment : By Participant
  Sponsored by:  ----------------------------------
Date : ------------------  Authorised By : ------------------



--------------------------------------------------------------------------------

THE ASIA-PACIFIC PEOPLES' ASSEMBLY
57 Lorong Kurau, Lucky Gardens, 59100 Kuala Lumpur, Malaysia 
Tel : 603-2836245  Fax :  603-2833536
E-mail : appasec at tm.net.my
URL : www.geocities.com/CapitolHill/Senate/8340