Conference
Registration Form
Registration Fee: $100.00 per person
Includes Welcome Reception, Continental Breakfast, Lunch, Banquet Dinner, Music, Dance and Conference Materials
Please complete form and fax it to 1-213-385-8953 or mail to:
Somaliland Policy & Reconstruction Institute(SOPRI)
520 S. Virgil Ave, Suite 402
Los Angeles, CA 90020, USA
(Credit card payments can be faxed to 213-385-8953)
Please complete one registration form for each attendee. Please print or type.
Name:___________________________________ Title:_____________________________
Organization: ____________________________________________________________________
Mailing Address: ____________________________________________________________________
City/State/Zip: ___________________________________________________________________
Country _______________Phone:_____________ Fax:_______________________
Email Address: ______________________ Web Site:____________________________
Payment:
Check Amount Enclosed $ _____________________
Credit Card: Visa MasterCard
Card No: ______________________________ Amount Enclosed: $____________________
Name on Card: ____________________________ Signature: _________________________
Hollywood Studio Tour, Friday and Sunday June 24 - 26, 2005 at 11:00 am.
(Bus transportation will be provided. A minimum of 5 hours is required)
Please indicate if you will attend the Hollywood Tour. _____ Yes _____ No
You can contact Mohamed Abdi Hussein: mohamed_essa1@hotmail.com
If you have more days to spend here SOPRI can assist you find discounted tours to Disneyland, San Diego Sea World, Palm Springs, Las Vegas and Santa Barbara
SOMALILAND POLICY AND RECONSTRUCTION INSTITUTE
520 S. Virgil Avenue, Suite 402 Los Angeles, CA 90020 (213) 385-8917
Email: ssamater@aol.com Website: www.sopri.org
Details of the conference program, speakers and sponsors will be announced shortly