Martin Ennals Award online registration form

Martin Ennals Ceremony 2010
Victoria Hall, Geneva
15 October 2010 – 18h00

*Family Name / Nom :**

*First Name / Prénom :**

Phone number :

*Email Address/Adresse électronique :**
The Martin Ennals Foundation will confirm your registration using this e-mail. Please use an e-mail address which will be accessible to you for the next 6-12 months.

Organization / Organisation :
Please, in full; do not use abbrevations or acronyms;