Strengthening the co-operation between Quang Nam and ingos for Poverty reduction and Sustainable development



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CONFERENCE

Strengthening the co-operation between Quang Nam and INGOs

for Poverty reduction and Sustainable development

Hoi An Beach Resort

Hoi An town - Quang Nam province

May 12, 2006


REGISTRATION FORM




Personal Details:


1. Name

Title: Mr./Ms./Dr./Prof./Other

First Name:

Last Name:

2. Nationality




3. Position




4. Organisation




5. Address

Tel:


Fax:

Email:

Logistic Arrangements:


6. Do you need pick-up at Dang Nang airport? Yes / No

If yes, please specify: Flight No.:......... From:................. Arrival time: ......h...... of ...../...../2006

(The Organizing Committee offers airport transfer from and to Da Nang airport)
7. Do you need room arrangement at Hoi An Beach Resort? Yes / No

If yes, please specify: Room (Single/Double):

Check in ....../....../2006 Check out ....../....../2006

8. What is your meal preference? .......................................................................................


9. Will you participate in the field visit? Yes / No

Kindly return this form before May 10th, 2006 to:


PACCOM

105A Quan Thanh - Hanoi

Tel:04-8436936 Fax: 04-8452007

Email: minhnguyen@paccom.org.vn

(contact person: Mr. Nguyen Tuan Minh; cell: 0983300003)

or

Quang Nam Department of Foreign Affairs (DOFA)

Tel: 0510-852746 Fax: 0510-819729



(contact person: Mr. Van Ba Son; cell: 0903529222)




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