Participation Form

Theme: Uphold and Advance the Rights of Migrants and Refugees Against Exploitation, War and Discriminatory Laws, Amidst the Global Economic Crisis! Oppose 'Fortress Europe' and the EU Return Directive!

PARTICIPATION FORM
(Please send back duly accomplished form by fax or e-mail by September 1, 2009)


1. Name of participant: ____________________________________________

2. Gender: _____ Age: _____ Nationality: ______________________________

3. Name of your organization (including acronym): _____________________________________________________________

4. Address: _____________________________________________________________

_____________________________________________________________

4. Contact Information: Phone: _______________________________________

Fax: ________________________________

Mobile: ______________________________

E-mail: ______________________________

5. Type of Organization:

_____ Migrant Organization
_____ Non-Government Organization, pls. specify what sector _______________________________________________
_____ Sectoral organization/Alliance/Federation, please specify what sector ________________________________________________
_____ Others, please specify ________________________________________________
______ Themes/Topics your organization is concerned with:
______________________________________________________________

______Workshop topics you are interested to participate in (please refer to program for list of workshop topics):
______________________________________________________________

6. Scope of Organization:

_____ International
_____ Regional
_____ National
_____ Others (pls. specify) __________________

7. Is your organization a member of a local, national, regional or international network or coalition? Which one(s)? _________________________________________________________

8. Are you being sent by your organization to participate? _____ Yes _____ No

9. Other information (for accommodation purposes):

9.1. Preferred room accommodation: _____ smoking non-smoking _____

9.2. Food preference: __________________________________________________________

9.3. Medical considerations (if any): __________________________________________________________

9.4. Other considerations (please specify): __________________________________________________________



Accomplished by:

________________________
(Print name and sign)

Date: __________________________________

You may send this form by fax or e-mail to:
IAMR2 Secretariat (Attn: Grace and/or Rio)
Fax:
E-mails : iamr2athens @gmail.com

“For many years, many have spoken on our behalf.
This time, we will speak for ourselves.”