2-nd ArmeniaDiaspora Conference
Registration Form
May 27-28, 2002
(Printer Friendly Version)
First Name: (required)
Last Name: (required)
Full address: (required)
 
City:
State: Zip:
Country of residence: (required)
e-mail: (required)
Phone:
Fax:
 
Representing: self
organization
 
Occupation / Business:
Position / Title:
Business address:
 
  How would you like to receive correspondence?
E-mail Hard Copy (Regular mail)
 
Languages Spoken: Please indicate which of these languages you speak / understand without benefit of translation (select all that apply):
Armenian English French German Russian Spanish
 
Primary area of interest: Business & Economy
Science, Culture & Education
Information & Media
Political Relations and Advocacy
Diaspora and Armenia Organizational/Structural Development
 
Will you be traveling with a family member or friend?
Is this your first visit to Armenia:		 Yes No

Yes No
 
Voluntary Registration Fee:

$50 U.S. dollars or equivalent in U.S. dollars

 Do you wish to help subsidize the costs of the conference? If so, a voluntary donation may be made by credit card or check. Please make checks payable to MFA/Diaspora Conference and mail to:

Armenia Diaspora Conference
Ministry of Foreign Affairs
2 Republic Square, Room 304
Yerevan, Armenia

Or, please provide credit card information below.

Card Type:
Cardholder's Name:
Card Number:
Expiration Date:
 
Do you need more information on: Obtaining a visa
Travel to Armenia
Accommodations in Armenia
Other (please specify)
 

Note:

  • Once you are registered, you will receive regular notices and correspondence about the conference and surrounding activities during the week preceding and following the conference.

  • Please send us a photo to be used in a conference handbook that will be produced listing all participants, identifying them by name, affiliation and photograph. The photo may be sent by email (photo@armeniadiaspora.com) or mail (Armenia Diaspora Conference, Ministry of Foreign Affairs, 2 Republic Square, Yerevan, Armenia)
      Mail of FAX to:
Government House 2, Republic Square, Yerevan, Armenia 375010
Telephone: (374 1) 583978, 583928, 583948
Fax: (374 1) 543925, 583978

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