The Network Project

REGISTRATION FORM
Fair Trade at the Crossroads 28th October 2006
Please also use this form to register with The Network Project.
This form provides opportunities for information input and donations.
The fee for the Conference is £30. There are a limited number of bursaries.
Stalls are available in exchange for sponsorship. Please enquire.

Please complete all fields

Name
Position
Organisation if any
House No and Street
Village /Neighbourhood
Town /Borough
County /City
Postcode
Country
Phone (home)
Phone (work)
Mobile
Fax
Website
Email

 

If you are registering to attend a Workshop or Conference, please put the date here like this dd/mm/yyyy

Conference Date

 

It would be helpful if you would indicate here where you heard about The Network Project
Referred by

Here are some details about my organisation or work which is relevant to the Network Project:


The Network Project is new organisation and we are currently seeking funding to support the ongoing work. We are a Charitable Trust and at the moment we do not have a set membership fee. If you are willing to support our work please send any donation you would like to give = £____

Please send an invoice to my organisation at the address given above.
I am sending a cheque to The Network Project, 12 Southcote Rd, London N19 5BJ
(NB you can return and print out this page to accompany your cheque after submitting this form).