May 19, 2012

Registration form – Covering Poverty, Food Security and Social Protection


Lusaka, Zambia, 10-11 November 2009


Please return this completed form to:

Obakeng Mooke

omooke@frayintermedia.com

Fax: +27 11 325 2631

Tel:  +27 11 341 0767

Delegate:


Last Name: ……………………………………..       First Name: …………………………………….

Position: ………………………………………..       Organisation:……………………………………..

Work address: ………………………………………………………………………………………………

…………………………………………………………………………………………………….………

Tel: …………………………………………………    Fax: ……………………………………………….

Email:……………………………………………………………………………………………..………

Dietary Requirements: ………………………………………………………………………………….

Seats are limited and will be assigned on a first-come, first-served basis.