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Speaker 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
Speaker Registration Form
(pdf) and fax it to +1 (613) 822-5099.
Speaker Information
*
First Name
*
Last Name
Title
*
Company
Street
Zip/Postal
City
State/Province
Country
*
Telephone
Fax
*
E-Mail
Public Relations Agency or Alternate Contact Information
First Name
Last Name
Title
PR Agency Name
Street
Zip / Postal
City
State/Province
Country
Telephone
Fax
E-Mail
Presentation Information
*
Presentation Title
Session Name
Type of Session
Keynote Speaker
Session Chairman
Session Speaker
Abstract of Presentation or Paper
(
Approximately 150 words
)
Company Profile
(
50 words or less
)
*
Biography
(
Approximately 50 words
)
Photography
For any registration questions please contact our Registration Department at
program@futuregloballeadership.com
Fax: +1 (613) 822-5099
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