Boston Global Action Network

New England Global Action Network
Kick-Off Conference

Registration Form

As of October 24, 2000

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Full Name:
Affiliation/Affinity:
Full Address:
Day Telephone:
Evening Telephone:
Email Address:
There is limited community housing available. What nights do you need housing?		Friday
		Saturday
		Sunday
		Need info on cheap hotel accomodations

During break times, there will be affordable food in the Worcester State College cafeteria. We will be preparing some vegan food.		Check if you need vegan food
		Check for other dietary restrictions, and explain below:


		Check for other special needs, and explain below:


Check here if you need translation:		Spanish
		French
		Portuguese

Registration Fee:
payable on site, $10 sliding scale