Dayton Human Trafficking Accords Conference

9 & 10 November 2009

John F. Kennedy Memorial Student Union

University of Dayton

 

 

Participant Information and Preferences:  (Note - please tab from field to field,

                                                                                             pressing enter will submit the form.)

 

In order for us to make your participation in the Dayton Human Trafficking Accords conference as pleasant and comfortable as possible we would like you to provide us with the following information:

 

 

Note:  please tab from field to field, pressing enter will submit the form.  Thank you.

Name as you would like it to appear in our program: 

Title: 

Organization: 

Address line 1:

Address line 2:

City, State, Zip: 

 

Preferred Email: 

Preferred Telephone Number:

 

Box lunches will be served at 11:30am, please choose one:

Roast beef and Provolone on a Kaiser roll

Turkey and Swiss on a multi-grain bun

Veggie Wrap - Tomato, cucumber, mushroom, cheddar cheese and Tzaziki Sauce

        All sandwiches are served with lettuce, tomato, condiments and Sun chips

                                                                                                                   

Will be staying for dinner?  Yes   No

 

Prefers vegetarian meal option for dinner?  Yes

 

 

Back to Conference Schedule