Hanoi 2004 - Registration

Individual registration

Name and address of the delegate

First Name

Family Name

Name of your institution

My institution is a

FIAF Affiliate

SEAPAVAA Member

Visitor

For FIAF Affiliates only:

Member

Associate

Donor

1st delegate
2nd delegate
3rd delegate
4th delegate

1st delegate
2nd delegate

For SEAPAVAA Members only:

Official representative of SEAPAVAA Institutional Member

SEAPAVAA Individual Member

Address

Telephone

Fax

Email address

Date of arrival
I will arrive in Hanoi on

at

Flight Number

Date of departure
I will leave Hanoi on

at

Flight Number

Any comments you would like to make regarding your registration

Please click only once. You will receive an email confirming your registration within the next two working days. If you do not receive this confirmation, please register again.