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Media 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 Media Registration Form (pdf) and fax it to +1 (613) 822-5099.

*First Name			*Last Name
Title			*Company
Street			City
State/Province			Zip / Postal
Country			*E-Mail
*Telephone			Fax

Type of Media or Organization

*Please specify.

Others

If you are a freelance writer, please list the publications you write for:

Do you have any special needs in the On-Site Media Center? (please specify)

For any registration questions please contact our Registration Department at media@futuregloballeadership.com
Fax: +1 (613) 822-5099

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