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                                                      End Slavery Day 2010 Event

                                                       Download Registration form in PDF format


                                                      End Slavery Day 2010: Trafficking Happens at Home
                                                      Registration Form
                                                      Meeting of The Ottawa Coalition to End Human Trafficking

                                                      December 2, 2010
                                                      7:00-9:00pm
                                                      MAC Hall, Bronson Centre
                                                      211 Bronson Ave
                                                      Ottawa, ON

                                                      Name of Agency:  ___________________________________________________________
                                                      Address: ____________________________________________________________________
                                                                     ____________________________________________________________________
                                                      Contact Name: ______________________________________________________________
                                                      Phone: ______________________________________________________________________
                                                      Email: _______________________________________________________________________

                                                      Completed Registration Form & Payment Deadline: November 15, 2010
                                                      Registration Fee: $20 per organization
                                                      Cheques payable to: PACT-Ottawa
                                                      Send to:
                                                      PACT-Ottawa
                                                      C/O Kairos Spirituality-for-Social Justice Centre
                                                      #306-211 Bronson Ave
                                                      Ottawa, ON
                                                      K1R 6H5

                                                      General Area of Service: _____________________________________________________
                                                                                     (Example: housing, food, education, protection, women, youth, etc.)

                                                      Would the organization like a booth at the event? Yes: ___ No: ___
                                                      Number of required tables: ____________
                                                      Number of required chairs: ____________
                                                      Preferences for table location: _____________________________
                                                      (Example: wall space)

                                                      Booth set-up time is between 5:30 pm – 6:30 pm.
                                                      Please arrive early to ensure set up is completed by 6:30 pm.
                                                      In order to facilitate networking, please send two representatives if possible.
                                                      Please return via email to ottawacoalition@gmail.com by November 15, 2010.



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