Registration Form

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Earth Government
is hosting

Global Dialogue 2005
Politics and Justice without borders
theme
The Global Constitution

the Global Constitution

Participants to the Global Dialogue 2005 must register. There are no registration fees. One registration per form. Register by email at: GlobalConstitution@telus.net
You may also register by post office mail. See postal address below.


Participants submitting research papers to the Global Dialogue 2005 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 2005 please send us a message using the contact information below.




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

__________________________________________________________________________________________

Title/Position: ______________________________________ Department: ____________________________

Organization: ______________________________________________________________________________

Address (street number and name):
__________________________________________________________________________________

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): ____________________________________________________________________
Are you making a presentation? Yes No
If yes, title of presentation:_________________________________________________
Short summary: _________________________________________________
____________________________________________________________________
____________________________________________________________________
Are you organizing a Workshop Session in your community? Yes No
____________________________________________________________________
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.):
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Do you wish to participate in a Discussion Roundtable on Internet? Yes No
What issue(s)?
____________________________________________________________________
____________________________________________________________________


Contact information

Germain Dufour
Project Officer

Telephone
(250)- 754-0778

Postal address
Global Dialogue 2005
186 Bowlsby Street, Nanaimo, BC, Canada V9R 5K1

Electronic mail
General Information:
GlobalConstitution@telus.net

Webmaster: gdufour@globalcommunitywebnet.com

websites:
http://globalcommunitywebnet.com/GlobalConstitution/egindex.htm
http://globalcommunitywebnet.com/gdufour/
http://www.globalcommunitywebnet.com/globalcommunity/


 






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Preface ] Theme ] Issues ] Organizing Committee ] Registration ] Registration Form ] Opening Ceremonies ] Closing Ceremonies ] Program Scheduling ] Sessions Framework ] Place of Global Dialogue 2005 ] Deadlines ] Expectations from participants ] General Listing of Participants ] Call for Papers ] Paper Submission Cover Sheet ] Presentation Notes ] Other Submission Cover Sheets ] Workshop Sessions ] Discussion Roundtables ] Student Sessions ] Dramatic Displays ] Art work presentations ] Poster presentations ] Posters ] Positive actions to sustain us ] Vision of Earth in year 2024 ] Brain-storming exercises on issues ] Proceedings ] Trade Show ] Special arrangements ] Other arrangements ] Collaboration with other organizations ] Sponsors and donations ] Submission of sponsored activities ] Volunteers ] Guided Tours ] Other activities ] General Inquiries ] Accommodations & meals ] Universal Currency Converter Service ] Transportation and accessible services ] Expense estimate information ]


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