Name
(As you want it on your badge) _______________________________________________
Institution
(on badge) ____________________________________________________________
Work
Address__________________________________________________________________
Address______________________________________________________________________
City_________________
State___________________ and Zip Code _____________________
Work
phone number__________________ Cell phone number _________________________
E-mail
address (please print clearly) _______________________________________________
Will
you need access to the internet during the conference?
_______________________________
|
Pick
a themes/topic of most importance to you? |
|
|
Learning
about East Asia |
China’s
Environmental Impact |
Any
special services you require to participate? _______________________________________
Please check one or
both:
I will be attending the
September 26th Opening and Reception __________________
I will be attending
information sessions and lunch on September 27th ___________________
|
Contact: |
Bogdan T.
Leja, International Liaison Officer
The University of North Carolina at Chapel Hill FedEx Global Education
Center, CB#5145 Chapel
Hill, NC 27516-2911
Office: (919) 962-0299, Fax: (919) 962-5375 |