Global Civilizational State: Global Protection Agency (GPA) essential services.

Paper Submission Cover Sheet

Participants to the Global Dialogue 2021 must register. There are no registration fees. One registration per form. Register by email at: globalcommunity@telus.net You may also register by post office mail. See postal address below.

Participants submitting research papers to the Global Dialogue 2021 must submit the Paper Submission Cover Sheet. If there are more than one authors please list them all in the message area. Send an email message if needed. If you have a long abstract please send it by email. If you wish to communicate with Global Dialogue 2021 please send us a message using the contact information below.

Ms. Mr. Mrs. Dr.
First name: ________________________________________ Last Name: _____________________________

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Title/Position: ______________________________________ Department: ____________________________

Organization: ______________________________________________________________________________

Address: __________________________________________________________________________________

City: ____________________________________________________________

Province/Territory: _________________________________________________

Country: _________________________________________________________

Postal Code: _____________________________________________________

Telephone: _______________________________ ext: _______________ Fax: ________________________

E-mail: __________________________________________________
Website: _________________________________________________

Sector:
Federal Government Provincial Government Municipal Government
Corporate Academic NGO Media Student
Other (please specify): ____________________________________________________________________
Your message: ____________________________________________________________________
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Are you making a presentation? Yes

If yes, title of presentation:_________________________________________________
Short summary: _________________________________________________
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Are you organizing a Workshop Session in your community? Yes

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If yes, do you need help other than monetary help? Contact us if needed.
Describe your Worksho Session (goal, issue(s), place, participants, day and time, results, recommendations, etc.):
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Do you wish to participate in a Discussion Roundtable on Internet? Yes

What issue(s)?
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