Chab Dai Bi-Annual Member Meeting Registration
Theme: Refresh, Renew, Refocus

Date: 10-11 May 2018
Venue:
Day 1: Cambodiana Hotel, 313 Sisowath Quay, Phnom Penh, Kingdom of Cambodia
Day 2: at Diakonia Center (Known as ICF), Address: #19-21, st. 330, Boeung Keng Kang 3, Phnom Penh, Cambodia
Language: English and Khmer (simultaneous translation)
Fee: 10$ per participant/1day (Lunch, Refreshment, and Materials are provided)

**Note: Please register each staff member individually, thank you!

Draft Agenda: https://docs.google.com/document/d/14H22NSKeENgyS0sYuYaOn50rhMmFy7bMAQaLh4Ymph8/edit?usp=sharing

Further information please contact
- General Information: Ms. Rath Sirititiya, rath.sirititiya@chabdai.org, 069 532 832, 092 381 853.
- Booking Booth: Mr. Yan Yamath, yan.yamath@chabdai.org, 092 911 092
- Payment: Mr. Hem Sinoch, sinoch.hem@chabdai.org, 012 771 428

Full Name: *
Your answer
Sex: *
Position/Title: *
Your answer
Name of Organization: *
Your answer
Telephone Number: *
Your answer
Email: *
Your answer
Attending Day 1:
Attending Day 2:
Please specify if you prefer Lunch: *
Yes (No requirements, only good food!)
Yes (Vegetarian)
No
Day 1
Day 2
Payment preference:
Account Name: CHAB DAI Coalition, Account Number: 0001-10195503-1-4 (ACLEDA Bank)
Cash
Cheque
Bank Transfer
Chab Dai Staff Click Here
Speaker Click Here
Before Meeting Day:
During Meeting Day:
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