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Attendee Registration

If you wish to register for the International Diaspora Youth Leadership Conference 2009, please complete the field and click the Register button below.
Or please complete the Attendee Registration Form (pdf) and fax it to +1 (613) 822-5099.

Attendee Information

*First Name			*Last Name
*Nickname for badge			*Title
*Company or Home address			*Street
*City			*Zip / Postal
*State/Province			*Country
*Telephone			Fax
*E-Mail			Guest's Name
*Country of Citizenship

The contact information provided is for my:

Home Business Other

University:*

Discipline(s):*

Degree:* Year:

I would like to register for:

Thursday and Friday (9 and 10 July) Thursday (9 July) Friday (10 July)

Would you like to join the conference “30under30” Gala dinner on 9 July?

Yes No

Would you like to join the conference Friday Night Entertainment on 10 July?

Yes No

Do you understand Serbian?

Yes No (I need interpretation)

What is your language of preference?*

What objectives would you like to achieve during your visit? Please check all that apply.

Family visit Learn about Diasora/Serbia Exposure to New Business Prospects Finding Distributors Government Relations Joint Venture Partners Finding Sales Reps Other

Do you have a partner in Serbia?

Yes No

Is your firm seeking representation in this market?

Yes No

Do you require assistance in arranging individual (partner) company meetings during the conference?

Yes No

Are there any specific companies, or types of companies, you would like us to contact?
If so, please name them:

For registration information, please contact:
For International Telephone:001 (613) 225-9029 Facsimile: +1 (613) 822-5099 E-mail: registration@futuregloballeadership.com		Belgrade Office: 11 Makedonska St. 11000 Belgrade, Serbia Tel: +381 11 3038 721 Fax: +381 11 3373 729 E-mail: registration@futuregloballeadership.com

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