[icd] : : the institute : : high profile network

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If you are experiencing problems with the registration form, please contact the webmaster, and describe the problem. We will contact you regarding the completion of your registration. Thank you.

Step 1) Personal Information
*Full Name
*Address 1
Address 2
*City
*State or Province
*Zip Code
*Country
*Evening Phone Number
Day Phone Number
*Email Address
Step 2) Registration
*Choose the days you want to attend
Step 3) Mode of Payment
*Select the method of payment convenient for you:
Credit Card	Please follow the additional instructions given after you fill out this form to proceed with the registration. You will be taken to a separate Pay Pal secure site to complete the payment.
Check/Cash	Payment must be made before or during registratoin on the day of the conference. We will only accept cash and checks during that time. Make checks payable to Institute of Cultural Diplomacy
Note: Once we have received your payment, we will send you a confirmation e-mail.
Step 4) Optional Information
Age
Occupation
How did you find out about the conference?	Website Word of mouth E-Mail notice Other If other, please specify
Are you interested in receiving information by E-mail or mail?	E-mail Mailings
Cultural diplomacy covers many areas. Which areas interest you most?

NOTE: Payment must be made before or during registration on the day of the conference. We will only accept cash and checks during that time. E-Mail artsandeducation@culturaldiplomacy.org Address Institute for Cultural Diplomacy C/O Josh Grossberg 200 East 33rd St. #14G New York, NY 10016
Your privacy is important to us!
ICD understands and respects that your privacy should always remain strictly under your control. It is because of this philosophy that you can be confident that the information you divulge to ICD will not be accessible to people whom you have not authorized. It will not be sold or otherwise distributed to third parties. ICD is not a source of unsolicited email.