APF Participant Request Form 2017

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All participants including APF committee members, delegates, alternate delegates and attendees in any official capacity should complete this form whether requesting funding or not.

If your community does not yet know who your Delegate will be in March 2017, and your community is likely to attend, please submit this form now with your current/previous delegate information so we can continue with our planning. Once any changes are confirmed, please then email apfadmin@nzna.org.

All information provided is sent to the APF Admin Committee.

Participant & Community Information

Full name of participant *

(as it appears on your passport)

Service Position of Participant *

Email address *

Phone number *

(please remember to include your country code)

NA Community / Service Committee *

Is your Community currently an active member of the APF email list? *

I may be able to stopover en-route to APF to support other communities:

Yes

Other:

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