Application Form To Host 9th General Assembly 2017

Your Name (required)

Your Email (required)

Organisation Name

Membership Status

Address

Phone

Contact Person:

Title

First Name

Last Name

Position

Cell Number

Fax Number

Proposed Date

Proposed Location:

City

Hotel

Conference Facility

Hotel Rating and Facilities:
4/5 Star
24hr Concierge
Conference Room
Gym
Pool
Room Service

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?