NO TO THE FTAA!
A DIFFERENT AMERICA IS POSSIBLE!






Registration Form

1. 1. Personal data:

-Names and surnames:_______________________________________

-Country of residence:_______________________________________

-E-mail address:______________________Tef.___________________
Fax:________________________________

2.-Organization:____________________________________________

3. Have you participated in any of the Hemispheric Meetings of
Struggle against the FTAA? If so, mark which:-
2002_____2003_____2004_______

4. Do you or your organization belong or are related to any of the
sectors described below?

____Trade Unions
____Intellectuals
____Youth or Student ____NGO's
____Peasants
____Religious or Ecumenical
____Academics
____Parliamentarian
____Women
____Jurists
____Indigenous

5. Do you have preferences for a given them or subject? (You can
choose more than one):
___Wars & Militarization. Military Bases & US Plans.
___Culture and Identity.
___Free Trade Agreement Regional and Bilateral.
___Privatization of natural and basic resources sources.
___Agriculture and Feeding sovereignty.
___South America Community of Nations.
___Migrant workers.
____The Bolivarian Alternative for the Americas.
____Environment and Bio-diversity.
____Debt.
____FTAA negotiating process.
____The WTO.
____European Union - Latin America.
____The defence of Mankind.

6. Are you ore your organization-acting members of any of the
movements listed below? (You can mark more than one).
___Continental Struggle against the FTAA.
___Hemispheric Council of the Social Continental Alliance.
___International Council of the World Social Forum.
___Hemispheric Council of Social Forum for the Americas.
___Pan-Amazonic Social Forum.
___Mezo-Amamazonic Forum.
___Southern Jubilee.
___International Trade Union Organizations.
___Women World March.
___Campaign for the Demilitarization of the Americas.
___In Defence of Humanity.
___Parliamentarian Networks.
___CLOC / Peasant route.
___Peoples of the Americas Convergence. (COMPA).
___OCLAE.
___Other networks and Campaigns.

Please send your Registration Form to the following address:
<mailto:leonelgonzalez@...> leonelgonzalez@... /
<mailto:America@...> America@... / <mailto:neoglob@...>
neoglob@... /

Each participant will pay a $20.00 USD fee for organizational purposes
of the event.

For more information please contact the Organizing Committee of the IV
Hemispheric Struggle Against the FTAA
Phones: - (537) 877 5349 / (537) 877 53 10 to 12
Fax:- (%37) 873 5408 E-mail: <mailto:America@...> America@...

You can also find this Registration Form in.: <http://www.alcabajo.cu/>
www.alcabajo.cu

THE DEADLINE FOR THE DELIVERY OF YOUR REGISTRATION FORM IS APRIL 20TH.
2005.

Organizing Committee:
IV Hemispheric Meeting of Struggle Against the FTAA
Phone: (537) 877 5310 to 12 Fax: (537) 873 5408
america@...















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