Pre-Registration Form - Second High Level Local and Regional Governments Forum on the 2030 Agenda - 24 September 2019, Conference Room 3, United Nations Headquarters, New York
Please, use this form to request your registration to attend the Second High Level Local and Regional Governments Forum on the 2030 Agenda which will be held on 24 September 2019 at 15:00-18:00 in Conference Room 3, United Nations Headquarters, New York.

Note:
- National Government Delegates holding official United Nations Passes will have direct access to the event.
- All other participants MUST pre-register to receive a Special Event Ticket.
- Security regulations at United Nations Headquarters require that all participants be issued with special event tickets for events held during the United Nations High Level week.
- The use of regular civil society UN Grounds passes for the UN Headquarters complex will be suspended from 23 September to 1 October and will not be valid for participating at this event.

Please note that all participants are responsible for making their own travel arrangements, including visa arrangements. The UN will not be able to provide any travel support to this meeting.

DEADLINE FOR PRE-REGISTRATION: 10 September 2019
1. Last / Family Name (As in passport) *
Your answer
2. First / Given Name (As in passport) *
Your answer
3. Gender *
Required
4. Name of Organization *
Your answer
5. Organization's web site
Your answer
6. Job Title *
Your answer
7. Country of Residence *
Your answer
8. Nationality *
Your answer
9. Email Address *
Your answer
10. Phone Number
Your answer
11. Which sector does your organization represent *
Required
12. I have funding to cover the costs related to my participation at this event *
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