The 12th Annual Conference of The Caretakers of the Environment International June 28th to July 5th, 1998
DELEGATION REGISTRATION FORM
Use capital letters throughout.
Organisation/School
Country
No. of delegates
Contact Person
Full Postal Address
Telephone
Fax no.
E-mail
Adult delegates Name
Theme group registration 1st choice
2nd choice
3rd choice
Special requests (dietary, medical, etc.)
(Adult delegates - #2)
Name
Student delegates
(Student delegates - #2)
I,
(Delegation leader) agree to take full responsibility for the student delegates in my care for the duration of the conference. Signed
Delegation leader.