Peoples' Tribunal & Assembly Registration

Peoples' Tribunal & Assembly

Breaking the Silence | Peoples' Tribunal & Assembly | Justice for the Five
Toronto City Hall, September 21^st — 23^rd, 2012.

Pre-Registration Form

Name: Organization: Country: Address: City: Province / State: Postal / Zip Code: Telephone: E-mail Address:	I will be attending the following days: Friday \| Saturday \| Sunday
	Do you require a billet?
	Request accommodation information?
	Notes:
	I would like to pledge a donation of $ .

A $10.00 registration fee is payable at the door.

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