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Please indicate your country. Please indicate the honorific title or salutation that should be used before your name (Mr., Mrs., Ms., Honourable, Dr., etc.) Please indicate your first name. Please indicate your last name. Please indicate the institution you represent. Please indicate language of correspondence. Please indicate your mailing address. Please indicate your city. Please indicate your office telephone number. Please indicate whether you will participate in the accompanying persons’ program (yes/no). Please indicate if you will attend the meeting as: delegate/accompanying staff/observer. Please indicate your spoken languages. Please indicate in which working group you would like to participate (check one only). Please indicate your title (Senator, Representative, M.P., etc.).

Your registration to the Sixth Plenary Meeting of FIPA is now complete.

To fill out the travel and excursion form now, click here.

If your flight information is unavailable at the moment, please come back later to fill out the travel and excursion form.

Please remember to make your reservation at the Fairmont Château Laurier hotel before August 19, 2009.

#form.salutation# #form.firstname# #form.lastname# #form.rank# #form.parliament# Address: #form.mail1# #form.mail2# #form.ciudad#, #form.provincia# #form.country# #form.othercountry# #form.codpos# Phone: #form.phone1# - #form.phone2# Fax: #form.fax# Email: #form.email1# - #form.email2# Partner's name: #form.partner# I WILL PARTICIPATE IN THE ACCOMPANYING PERSONS’ PROGRAM: #form.participating_partner# Language of correspondance: #form.language# Spoken languages: Spanish: #form.esp2# English: #form.ing2# French: #form.fran2# Portuguese: #form.por2# Other: #form.otherlang# I WILL ATTEND THE CONFERENCE AS : #form.participanttype# Working Group: #form.wg# Women Parliamentarians Meeting September 14: #form.wg14# Women Parliamentarians Meeting September 15: #form.wg15# Special needs: #form.specialneeds# EXECUTIVE COMMITTEE (meeting and dinner on Sept 12): #form.ECdinner#


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 checked> Portuguese checked> French checked> English checked> 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
checked>
Group 2 – Food Security
checked>
Group 3 – Migrations and Human Rights
checked>
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 checked>
September 15 checked>
EXECUTIVE COMMITTEE (meeting and dinner on Sept. 12) checked>
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