MEDIA ACCREDITATION FORM
Items in bold are required.
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Name of Publication / Press Agency / Radio Station
/ TV Station:
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City:
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Country:
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Address where documents should be sent if
different from
above:
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| For TV journalists, please indicate the name and
title of accompanying staff (director, cameraman, technician, etc.),
if any. |
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| Name: |
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| Name:
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| Title:
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| Name:
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| Title:
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| I intend to cover (please check all that apply): |
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Monday, October 23, 2006:
Doing Good, Doing Well: Eclipsing the Great Trade-Off Illusion
Signs of a Tipping Point
Tuesday, October 24, 2006:
Wednesday, October 25, 2006:
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We will attempt to arrange one-on-one interview time(s)
for you to speak with keynote speaker(s) regarding the Forum. Please
check the names of individuals below you are interested in interviewing: |
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