I F C S

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IFCS Database Contact Form
7 August 2007
INTERGOVERNMENTAL FORUM ON CHEMICAL SAFETY (IFCS)
(
) Please add me to the IFCS mailing list
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Language: Arabic__ Chinese__ English__ French__ Spanish__ Russian__
PLEASE TYPE OR PRINT CLEARLY IN CAPITALS AND IN BLACK
Family Name: _______________________________
(Prof/Dr/Mr/Mrs/Ms)
First Name:
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Job Title/Position:
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Organization:
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Please select one option:
I am a government Official:
I represent an Intergovernmental Organization:
I am affiliated with an International Non-governmental Organization:
If yes, please specify;_________________________________________ _____ ______
I am none of the above, please specify:
Full mailing address:
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City: ______________________ State/Province etc: ________________________
Postal Code: ________________ Country _______________________________
For telephone and fax numbers, please indicate country and city codes
Telephone: _____________________________Fax: ________________________
E-mail address: ___________________________ Website: ___________________
EMAIL, FAX OR MAIL THIS FORM TO:
IFCS Secretariat (L430)
c/o World Health Organization
20 Avenue Appia
CH-1211 Geneva 27
Switzerland
Fax: + 41 (22) 791 4875
Email: ifcs@who.int
Secretariat: c/o World Health Organization, 20 Avenue Appia, CH-1211 Geneva 27, Switzerland
Tel: +41 (22) 791 3873/1334; Fax: +41 (22) 791 4875; Email: ifcs@who.int; Website: www.ifcs.ch
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