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BAQ 2008 Online Registration Form   (ASCII text format)
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Use this version only if you are unable to register via
http://www.baq2008.org/registration

a.) Fill out your registration details below
b.) Copy-paste this information in your email 
c.) Send to baq2008@cai-asia.org

Fields marked with an asterisk (*) are required.

CONTACT DETAILS
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* Gender: [ ] Male  [ ] Female

* Family / Last Name:

* Given / First Name:

* Organization: 

* Organization Type: 

  [ ] City
  [ ] Govt. agency
  [ ] NGO
  [ ] Academe
  [ ] Development agency
  [ ] Media
  [ ] Others

  Job title:

* Email: 
* Re-type email to confirm accuracy:

* Tel (country code + area code + number): 

  Fax (country code + area code + number): 
  Mobile:

* Nationality / Citizenship:

  Address line 1 (no. street):

  Address line 2 (district, city):

  ZIP code:

* Country:

DIETARY RESTRICTIONS
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[ ] No pork  [ ] No beef  [ ] No shellfish  [ ] Vegetarian


APPLICATION FOR SPONSORSHIP
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Self-funded participants are expected to pay for their travel, hotel accommodations, and appropriate BAQ registration fee. You may choose to apply for full or partial sponsorship (applicants for partial sponsorship will be given priority). Please read the Terms of Sponsorship. Media personnel are welcome to apply for sponsorship provided they agree to cover the BAQ 2008 event. Spouses are expected to pay $100 to join in the evening social events (but not the daily lunches).

Participant type:

[ ] Participate as self-funded
[ ] Apply for full sponsorship
[ ] Apply for flight sponsorship only
[ ] Apply for hotel + per diem sponsorship only
[ ] Spouse

Terms of sponsorship
[ ] I agree to the terms of sponsorship