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Sixth Plenary Meeting
Ottawa, Canada
13-15 September 2009

www.cdnsectioncan-fipa.ca

Participant Registration

One form per participant

Please complete by August 19, 2009

Personal Data

The fields marked with an asterisk * are mandatory.
Country: *

Other Country:

Institution: * 
Honorific Title and/or Salutation (Mr., Mrs, Ms., Dr., ...)
Last Name: *
First Name: *
Title: *
Mailing Address : *


City: *   
State:   
Postal Code:


Office Phones: *


Fax:

(Include country and area code e.g: +1 555-555-5555)
E-mail :  

Special needs :
Name of accompanying Spouse or Partner:
(If applicable)
I will participate in the accompanying persons' Program *
Languages Spoken: * Spanish Portuguese French English Other
Language of Correspondence: *  
I will attend the conference as: *
(Please select as appropiate)
Activities
I WILL PARTICIPATE IN THESE ACTIVITIES ( PLEASE CHECK AS APPROPRIATE ) :

WORKING GROUPS (Please pick one) *
Group 1 – Economic and Financial Crisis
Group 2 – Food Security
Group 3 – Migrations and Human Rights
GROUP OF WOMEN PARLIAMENTARIANS OF THE AMERICAS

All participants are also welcome to participate in this group which will meet for a breakfast meeting before the start of the working group sessions
September 14
September 15
EXECUTIVE COMMITTEE (meeting and dinner on Sept. 12)
For Members of the Executive Committee only

 


FOR MORE INFORMATION, PLEASE CONSULT THE CONFERENCE WEB SITE AT: www.cdnsectioncan-fipa.ca

OR THE FIPA TECHNICAL SECRETARIAT WEB SITE AT: www.e-fipa.org

Should you have technical difficulties filling out this form, please contact : Technical support