þÿ<html> <head> <meta http-equiv="Content-Type" content="text/html; charset=UTF-8"> <title>The contributors</title> </head> <body bgcolor="#EEEEDD" background="../images/bkgr15.jpg" text="#000000" link="#0000AA" vlink="#AA0000" alink="#8800AA"> <!--Section Begins--> <center> <p><font size="3">[ <a href="indexe.htm">the main page</a> ] </font></p> <p><table width="545" cellpadding="0" cellspacing="4" bgcolor="#EECC99" background="../images/bkgr09.gif" border="5"><tr> <td align="center" valign="middle"><table cellpadding="3" cellspacing="3" border="0"><tr><td width="75" align="center" valign="middle"><img src="../images/earth02.gif" height="70" width="70" border="0"></td> <td width="535" align="center" valign="middle"><font size="5" color="#006500"><b>WORLD PHILOSOPHICAL FORUM</b></font></td></tr></table></td> </tr></table></p></td></tr> <font size="4" color="#004500"><b>"Best philosophical ideas to educate, consolidate and transform Humanity into<br> integrated EARTH CITIZENSHIP-XXI"</b></font> <p><img src="../images/bar61.gif" height="7" width="365" border="0"></p> <p><table width="450" cellpadding="0" cellspacing="4" bgcolor="#EECC99" background="../images/bkgr12.jpg" border="5"><tr> <td> <table width="430" cellpadding="7" cellspacing="7" border="0"><tr><td width="430" align="center" valign="middle"><font size="5" color="#004500"><b>Application Request form</b></font></td></tr></table> </td></tr> </tr></table> </td></tr> <td>&nbsp;</td><p> <tr><td> <table width="780" cellpadding="4" cellspacing="0" border="0"> <tr><td width="3" align="center" valign="middle"></td><td width="900" align="center" valign="middle"><font size="4" color="#004500">Please note that applications should be filled out in English only<br> and be submitted electronically by e-mail to:<br> <a href="mailto:wpf@unesco-tlee.org" target="_blank">wpf@unesco-tlee.org</a>, <a href="mailto:ikondrashin@ya.ru">ikondrashin@ya.ru</a> </td></tr> <td>&nbsp;</td> <tr><td width="3" align="center" valign="middle"></td><td width="900" align="center" valign="middle"><font colspan="5" color="#003400"><b>REGISTRATION FORM</b></font></td></tr> <tr><td width="3" align="center" valign="middle"></td> <td width="720" align="center" valign="middle"><font size="4" color="#004500"> <b>Your participation details:</b> </td></tr> <table width="720" border="0" cellpadding="0" cellspacing="0"> <tr> <td align="left" valign="middle"> <blockquote></center> <p style="margin-top:23px;"><font size="4" color="#004500"> <ul compact="compact" type="square"> <li> Full name - </li> <li> Country & City - </li> <li> Address - </li> <li> Nationality - </li> <li> Telephone number -</li> <li> E-mail - </li> <li> Institution or Organization - </li> <li> Academic degree and/or Position - </li> <li> Presented a paper - &nbsp; YES &nbsp; or &nbsp; NO </li> <li> Title of the paper - </li> <li> What number of Forum Topics your paper concerns - </li> <li> You wish to participate in simposium and/or in a special session? - </li> <li> Membership in WPF <a href="intmov.htm">"DIALECTIC" organization</a> - &nbsp; YES &nbsp; or &nbsp; NO </li> <li> Do you wish to become a <a href="socr-sch.htm">Citizen of the Earth-XXI</a> - &nbsp; YES &nbsp; or &nbsp; NO </li> <li> Any comments or request to the Forum Organizing committee - </li> <li> Enclose your small photo (if you like) </li> <li> If an official personal invitation is needed for you, please, mention it here - </li> <li> If you need an application to the Greek Consulate to obtain visa to Greece, then, please, also state the number of your passport and date of your birth - </li> </ul> </p> <p>Write all the above information details here:</p> </table> </blockquote> <tr> <td valign="top" class="text">&nbsp;</td> <td colspan="3"><textarea name="Text" cols="45" rows="10"></textarea></td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> <td width="35%">&nbsp;</td> <td width="13%">&nbsp;</td> <td width="35%">&nbsp;</td> </tr> </table></td> </tr> </p> <table width="720" border="0" cellpadding="0" cellspacing="0"> <tr> <td align="left" valign="middle"> <p><font size="4" color="#004500">Save all the above data in Word format text and send this page to the Forum Organizing Committee at: <a href="mailto:wpf@unesco-tlee.org" target="_blank">wpf@unesco-tlee.org</a>, <a href="mailto:ikondrashin@ya.ru">ikondrashin@ya.ru</a> </p> <p><font size="4" color="#004500"> <strong>Important Notice:</strong> By submitting this form, I hereby agree to the <a href="trmprt.htm">TERMS of participation</a>, I consent to receive communication regarding the next WPF DIALECTICAL SYMPOSIUM at my electronic address notified above and I authorize the BOARD of the FORUM, its Organizing Committee to send information that can be necessary and/or interesting for me.</p> </table> </td></tr> <center> <p><img src="../images/bar62.gif" height="11" width="609" border="0"></p> <p><font size="3">[ <a href="indexe.htm">the main page</a> ] </font></p> </center></body></html>