Reservation Form
Please register your interest here.

If you are approved we will ask you to send a check that is required by your trip. Upon collections of checks from all the approved people, Peace Islands Institute New York will give the final confirmation and will ask you to purchase your international tickets. At that stage your checks will become nonrefundable. Please do not purchase airfare without Peace Islands Institute New York's approval first.

First & Last Name *
Your answer
Email *
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Phone Number *
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Organization *
Your answer
Position at the Organization *
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Which Country would like to attend? *
Short Biography *
Your answer
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