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Second Nepali Women’s Global Network’s Conference
"Looking Back, Moving Forward: Gender, Culture and Power”
Saturday, July 31st, 2010
9 am - 5:30 pm
University of Scranton, Scranton, PA
Registration Form
Name: ______________________________________________________________
(First) (Last)
University/Organization (Optional): _______________________________________
Address: ____________________________________________________________
City: ________________State/Province: ________Postal/Zip Code: _____________
Telephone: (______)______________Email: ________________________________.
Would you be interested in volunteering for the Conference? Yes___ No___
Registration Fees (Includes the cost of registration, conference proceedings, breakfast, lunch and dinner) please Check One:
NWGN Member Registration: $50.00 $ ________
Non Member Registration: $80.00 $ ________
(For $100 you can become an Annual Member of NWGN and also covers your Conference registration fees.Consider becoming a member. Visit our membership page for a Membership form)
Student Registration: $ 35.00 $ ________
Donation (if you would like to contribute): $ ________
Donation helps provide scholarship to selected participant.
Total Amount Enclosed $_________
Please send your Registration form and fees to the following address:
Nepali Women's Global Network Attn: Selina Shrestha1116 North Irving Avenue, Scranton PA 18510 PAYMENT METHOD: Please make checks payable to Nepali Women's Global Network. Write ‘Conference2010’ on memo line. Note: Conference registration is not considered complete without registration fee. We will acknowledge receipt of your registration form and payment via email.
