Please complete the booking form below by JULY 30th, 2000 and return with conference fees to:

Mr. Colin McNaughton
Conference Operations Manager
IHRAAM / ICHR
2 Hamilton Crescent
Hounslow, Middlesex TW3 2LJ
ENGLAND
Tel:  +44-20-8898-8099
Fax: +44-20-8898-8096

 

CONFERENCE FEES:
    _____ Fees plus full board (all meals) and shared accommodations (August 11th and 12th, 2000) at the Forum Park Hotel, Geneva:  US $ 500.00

    _____ Fees alone:  US $ 300.00
NOTE: Conference fee includes attendance for one person for 3 days, including opening reception and dinner (August 11), conference sessions and materials, breaks, two lunches, and dinner/ social program (August 12).  On receipt of your booking form and payment, a confirmation will be sent to you, along with a Conference Brochure, and further information concerning hotel facilities, etc.

         ALL CHECKS OR MONEY ORDERS SHOULD BE MADE PAYABLE IN US$ TO:
                                    International Council for Human Rights (ICHR)

A P P L I C A T I O N   F O R M
First International Conference
on the Right to Self-Determination & the United Nations
Forum Park Hotel, Geneva, August 11-13th.

Title: (Mr./Mrs./Ms/Other) ________________________________________________
Surname (for name badge): ______________________ First name:_____________
Job title: _____________________________________________________________
Address : ____________________________________________________________
_____________________________________________________________________
Tel: ______________________________ Fax:_______________________________
E-mail:___________________________  Website: ___________________________

ORGANIZATION: ______________________________________________________
Address: ____________________________________________________________
_____________________________________________________________________
Tel: ______________________________ Fax:_______________________________
E-mail:___________________________  Website: ___________________________

Languages spoken: ____________________________________________________

(Conference shall be conducted in ENGLISH)

Vegetarian food required:    Yes____  No _____

Accommodation required (shared)  Yes_____No_____

I have other special needs: ______________________________________________
_____________________________________________________________________

I am interested in presenting at the Conference under Conference Theme _______

The topic of my intervention would be:
______________________________________________________________________
______________________________________________________________________

I am interested in participating in Workshop(s) No(s).: _______________________

I consent to have my name and contact information published in the conference list ___________________

My check/money order in the amount of US$__________ Fees plus board
                                                                            US$__________ Fees only
is enclosed.

SIGNATURE: ____________________________________Date: _______________