Thank you for your interest in attending the HIV R4P Advocates' Pre-Conference Workshop. There is no fee to attend the workshop, but attendees are required to register in advance, and sign-in on site.

Please fill out the following registration form. Please note that there is limited capacity. You will receive confirmation of your attendance closer to the conference.

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* 1. Please enter your name

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* 2. Organization/Affiliation

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* 3. Position/Title

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* 4. City, Country you live and work in

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* 5. Telephone number (please include country code)

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* 6. Email

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* 7. Confirm email

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