Application Form To Host 9th General Assembly 2017 Your Name (required) Your Email (required) Organisation Name Membership Status Full MemberInterested PartyObserverSponsor Address Phone Contact Person: TitleMrMsDrProf First Name Last Name Position Cell Number Fax Number Proposed DateAug'17Sep'17Oct'17 Proposed Location: City Hotel Conference Facility Hotel Rating and Facilities: 4/5 StarNoYes 24hr ConciergeNoYes Conference RoomNoYes Gym NoYes Pool NoYes Room ServiceNoYes Guest Speakers. Please provide 3 options for speakers with Abstracts and Bio Speaker 1 Speaker 2 Speaker 3 Total Number of Guests catered for Welcome Reception Est. Cost Per Head Total Number of observers allowed for General Assembly Est. Cost Per Head Total Number of Guests catered for Dinner Est. Cost Per Head Total number of Airfares sponsored or subsidised Est. Cost Per Head Total number of Sponsored Room nights covered Est. Cost Per Head Please list brief detail of sponsors and Dignitaries attending. Government Vice Regal Consulate General Community Leaders Sporting Icons Academics Film / Media Icon Business Leaders International Neighbours Youth Leaders Cultural Exchange recommendations sightseeing attractions Option Please include any additional information which you feel will make the 9th General Assembly experience for delegates and observers memorable e.g. Media coverage, Entertainment, Workshop facilitators or extending invitations to dignitaries of neighbouring non-member countries, University, Student engagement. GA highlights provided via online access or DVD. What benefit do you feel hosting the 9th General Assembly in your Country/ City will have for your Kindness campaign and the World Kindness Movement?