NA - 6th YPFDJ Conference Registration Form
Washington DC, Sept 2-6 2010 (Labor Day Weekend)
First Name (*)
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Gender (*)
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City (*)
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Zip Code (*)
Email Address (*)
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House Telephone (*)
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Mother Tongue (*)
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YPFDJ Member (*)
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Previous Conference Participation (*)
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T Shirt Size (*)
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Arrival Airport
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Arrival Time
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Departure Time
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PFDJ ID Number
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6th Annual YPFDJ NA Conference Registration Fee 0.00 USD
Last Name (*)
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Street (*)
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State (*)
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Foreign Citizenship (*)
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Mobile Number (*)
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Date of Birth MM.DD.YEAR (*)
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Language(s) you use (*)
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Level of Participation
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Group Discussion Topic (*)
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Transportation
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Arrival Date
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Departure Date
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Eritrean ID Number
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Health Conditions and other needs
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