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THE CENTER FOR DEVELOPMENT COMMUNICATION SPONSORSHIP FORM

1) INTERNATIONAL EXECUTIVE MEDIA AND TV WORKSHOP

____ Bangkok, Thailand: December 8-11, 2008(English

 

2) STRATEGIC COMMUNIATIONS AND GOOD GOVERNANCE WORKSHOP

  • ____ Geneva, Switzerland: November 3-5, 2008

 

3) MEDIA MANAGEMENT SKILLS FOR SENIOR STAFF

  • ____ Washington, DC: October 6-7, 2008 (English)

Or Download PDF form here

 

PERSONAL INFORMATION

 
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