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THE
CENTER FOR DEVELOPMENT COMMUNICATION SPONSORSHIP FORM
1) INTERNATIONAL
EXECUTIVE MEDIA AND TV WORKSHOP
_____Geneva, Switzerland: September 20–22, 2010 (English)
_____Cairo, Egypt: December 1-3, 2010 (English)
_____Bangkok, Thailand: December 6-8, 2010 (English)
2) STRATEGIC
COMMUNICATIONS AND GOOD GOVERNANCE WORKSHOP
____ Geneva, Switzerland: May 10-12 2010 (English)
____ Bangkok, Thailand: June 28-30 2010 (English
3) Strategic Media Skills for Senior Managers
_____Geneva, Switzerland: September 16–17, 2010 (English)
_____Washington, DC: October 4-5, 2010 (English)
_____Bangkok, Thailand: December 9-10, 2010 (English)
Or
Download PDF form here

PERSONAL INFORMATION
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| Participants Name: |
_________________________________________________
(Last) (First) (Middle) |
| Nationality: |
_________________________________________________ |
| Organization: |
_________________________________________________ |
| Present Title: |
_________________________________________________ |
| SPONSORING ORGANIZATION |
| Name of Sponsoring Agency or Project: |
_________________________________________________ |
| Address: |
_________________________________________________ |
| Telephone #: |
_________________________________________________ |
PER DIEM / ALLOWANCE If the sponsoring agency pays a per diem allowance, the
allowance will be paid by the sponsor directly to the participant.
VISA INFORMATION
The participant will be responsible to obtain all necessary
travel and visa documents.
ACCEPTANCE
By signing and returning this sponsorship form, the agreement
will constitute a binding contract between the parties.
PAYMENT AND FEES
The fees should be paid in one of the following ways
1) Bank transfer to Center for
Development Communication. If you are interested in making your payment
this way, then please send an e-mail to Salima Lamkinsi at slamkinsi@cendevcom.org .
She will send you the bank transfer information.
2)
Check in US Dollars made payable to: Center for Development Communication and
mailed to: PO Box 25228 Washington DC 20007 (please see schedule for payment
deadlines).
CANCELLATION POLICY
100% of the tuition will be refunded up to two (2) weeks
before the workshop begins. After two weeks, there will be no refund,
unless cancellation was necessary due to exceptional circumstances.
For the International Executive
Media & TV Workshop (IEMTW) - if
a participant cancels up to two weeks before the workshop, 100% is refunded. After
that date, no refund will be provided.
| Signature of Authorized Officer: |
___________________________ |
Date: |
_________________ |
| Officer's Name and Title: ___________________________________________________ |
| Address: ________________________________________________________________ |
| Telephone #:_______________________ |
Fax #:_______________________ |
Please return the completed form and payment to: Mr. Moncef M Bouhafa
The Center for Development Communication
PO Box 25228
Washington, DC 20007
USA
Or fax the signed form to: 1-301-765-2218
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