Registration Form

1 March 1998 NGO Consultation on the Continuing Implementation of the

Beijing Declaration and Platform for Action

Name_____________________________

Organization_____________________

Address_____________________________________________________________

City_______________________________

State____________Zip______________Country_________________________

Telephone________________________

Fax_______________________________

E-Mail______________________________

Area of Interest (please circle one):

* Violence Against Women * * Human Rights of Women * * Women and Armed Conflict * * The Girl-Child *

Registration deadline:

20th February 1998. Advance registration is necessary for ALL.

Registration fee of $25 includes Consultation, lunch, materials and CSW evening reception (6th March).

Enclosed is a check for $_______ made payable to ‘NGO/CSW, NY’ for _____ people at $25 per person.

If registration fee includes payment for others please print name(s) on the reverse of this form. {Overseas Participants can pay the Registration Fee at the door.}

Send completed form to:

Kathie Uhler, Registrar
NGO Consultation
P.O. Box 3571, Grand Central Station
New York, NY 10163 USA
Fax: 212-692-0724