BTEP Event-OLD BEHIND BARS WITH JAMIE FELLNER OF HUMAN RIGHTS WATCH, 0CTOBER 10, 2012-11am-1 PM

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Below is the registration form for the Old Behind Bars town hall speaker series presentation with Jamie Fellner of Human Rights Watch on October 10, 2012 from 11 am to 1 pm at MacNally Amphitheater at Fordham University's Lincoln Center Campus. Please fill out the form completely. If you wish to submit an abstract for this forum, there are additional questions at the end of the registration form to do so. If you have any questions, email us at btep@fordham.edu.

Thank you!

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* 1. Email:

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* 2. First and Last Name:

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* 3. Institutional affiliation:

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* 4. Position:

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* 5. Telephone number:

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* 6. Mailing Address (Street, City, State, Zip Code):

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* 7. Are you a student-Interested in volunteering for the event? (yes, no, maybe)

Yes

Maybe

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* 8. List any questions you would like to be discussed during the town hall portion of the program.