"Stop TB, fight poverty"
Satellite Symposium on TB and Poverty
Montreal 11th & 12th October 2002

REGISTRATION FORM

To be returned to:

Mrs Teresa Hewitt
EQUI – TB
Liverpool School of Tropical Medicine
Tel:+44 151 705 3139 · Fax: +44 151 707 9193 · Email: tah@liv.ac.uk

REGISTRATION FORM
Title: Prof. Dr.   Ms. Mr.  
Family Name: _____________________________ First Name:__________________________
Organisation:________________________________________________________________
Address:_________________________________________________________________
City:_____________________________ Country:__________________________
Tel: (with country area code):____________________________________ Fax:
_________________________
Email:_____________________________________  

 
Working Groups:

Please indicate in priority order the working group you would prefer participate in*: (1: first choice, 2: second choice, 3: third choice).

Prioritizing pro-poor approaches within DOTS Expansion agenda Networking for poverty-related research across key themes Involving the Poor.
Social and Community approaches

Registration is free. Lunch will be provided on the 11th, coffee and tea provided on both days.

*While we will make every effort to allocate groups according to preferences, we may need to make adjustments to ensure a balance in group size.

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