First name
Last name
Email
Mobile
Organization / Employer
1.
Are you planning on traveling to New York for the Review Conference?
Please select
Yes
No
2.
If you are not attending, do you plan on following closely online?
Please select
Yes
No
3.
Do you identify as an affected community member?
Please select
Yes
No
4.
What is your priority focus area for the Review Conference?
5.
Is your organisation an ICAN partner?
Please select
Yes
No
6.
Does your organisation have ECOSOC status?
Please select
Yes
No
7.
Are others in your organisation planning on participating?
Please select
Yes
No
8.
My organisation would be interested in booking the NGO room for a side event, please make sure to send me more information.
Please select
Yes
No
9.
My organisation is interested in submitting a working paper, please send me more information.
Please select
Yes
No
10.
My organisation wants to deliver a statement.
Please select
Yes
No
We are considering it but not sure yet.
11.
What days are you thinking of attending?
Sunday 29 November
Monday 30 November
Tuesday 1 December
Wednesday 2 December
Thursday 3 December
Friday 4 December
Saturday 5 December
12.
Are you open to volunteer?
Please select
Yes
No
13.
Would sponsorship be a prerequisite for your attendance?
Please select
Yes
No
I can help sponsor others