REDES 2003 On-line Registration

REDES 2003 SPONSORING ORGANIZATIONS

NDU	CHDS	DMC	ANEPE	SOUTHCOM
Español				Português

[ Information ] [ Plenary Sessions ] [ Program Agenda ] [ Tracks ] [ Registration ] [ Español ] [ Português ]

REDES 2003 REGISTRATION FORM
Registration Form | PDF | (fax information)

Indicates Required Information

Biographic Information

Title/Salutation:

Name: First:

Middle:

Last:

Male:

Female:

Nationality:

National ID #:

Employment Information
Job Title:

Government: Non-government: Military:

Civilian (list agency/organization):

Web site address (if applicable):

Military Service (if applicable)

Active:

Retired:

None:

Branch:

Rank:

Official Mailing Address:

City

State/Province

Postal Code

Country

Phone Number (office):

Extension:

Fax Number:

E-mail (preferred):

E-mail (alt.):

Home Mailing Address:

City	State/Province	Postal Code	Country
Phone Number:	Fax Number:

Language Proficiency (check one box for all three languages)

English:

Spanish:

Portuguese:

Funding of Conference/Fees: Persons attending REDES 2003 may qualify for partial or full financial assistance. Please indicate the level of financial assistance, if any, for which you qualify. Please note that CHDS can only provide financial assistance to Latin America and the Caribbean. Also note, there is a $100 (US) conference fee* due at registration for all attendees/panelists.

I am an approved Track Chair or Panel Organizer and request full travel and per diem expenses:

I am the author of an academic paper that has been accepted and request local lodging and meal expenses
(travel not included).

I plan to attend the seminar and am responsible for my own expenses to include travel, lodging, and meals.

I plan to attend the seminar and have sponsorship from the following organization for my expenses:

* Conference fee covers materials, attendance to all panels, plenary and workgroup sessions, and conference meals.

National Defense University -- Center For Hemispheric Defense Studies
(202) 685-4670 Fax:(202) 685-4674
REDES@ndu.edu
http://www3.ndu.edu/chds

[ Home ] [ Information ] [ Plenary Sessions ] [ Program Agenda ] [ Tracks ] [ Registration ] [ Español ] [ Português ]

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Web site designed for Internet Explorer 4.0 and above.
Last modified: 10/01/03