APVOFM Register

Registration (Please submit form to register, or download pdf form download form(word) and email to workshops@apvofm.org)

Workshop Registration Form

1. Basic Information Test

Workshop Title
Workshop Location
Workshop Date
First Name
Last Name
Middle Initial
Prefix (Mr./Ms./Dr...)
Name as you would like it to appear on certificate
Job Title
Organization

Mailing Address


City
State
Zip/Postal Code
Country
Telephone
Mobile Phone
Fax
Email

2. Some More Details

How did you hear about this workshop?
Announcement mailing
HQ office informed me
Informed by colleague
Notified by USAID
Other:

Please list suggestions for agenda items:

Please briefly describe your job responsibilities:

I am planning to pay by:
Wire
Check

Would you prefer a Vegetarian Meal:
Yes
No

3. Are there other people that we should send this workshop announcement to? Please list name and email here:

4. Review and Submit:

After you have reviewed the information above, please print a copy for yourself and then submit form by clicking below.