2007 OSCE Mediterranean Seminar
“Combating Intolerance and Discrimination and Promoting Mutual Respect and Understanding”, Tel Aviv Israel, 18 - 19 December 2007	

REGISTRATION  FORM
State/Delegation/International Organization	
     	

Ms.	 	Mr.		Family Name: 		First Name:	
     	     	

Title and Position (as to appear on the list of participants):	
     	

Nationality:	Passport type (national, diplomatic etc.):	Passport number:	
     	     	     	

Tel. No. with all prefixes:	Fax No. with all prefixes:	
     	     	
Mobile No. with all prefixes:	E-mail address:	
     	     @     	

Arrival:	Flight #:	     	Departure:	Flight #:	     	
Date: 	     Dec 2007	Time:	     	Date:	     Dec. 2007	Time:	     	

In Tel Aviv, I will stay at the Hilton Hotel  	
Alternatively, I can be reached under the following address / tel. / fax #:	
     	

Date:	     		
Signature:	     	

Please Note:
The registration form should reach the OSCE Secretariat not later than 3 December 2007, either by mail, fax or e-mail:

OSCE Secretariat
Section for External Co-operation
Kärntner Ring 5-7, A 1010 Vienna, AUSTRIA
Tel.:  (+43-1) 514 36-190	Fax:  (+43-1) 514 36-96	E-mail:  aldona.szymanski@osce.org