We are looking forward to marking the seventh World Pneumonia Day (WPD) on November 12, 2015. Please take a few minutes to answer the following survey to register your WPD event.

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* 1. Name

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* 2. Organization

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* 3. Country

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* 4. Phone

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* 5. Email

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* 6. Website

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* 7. Twitter Account Name

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* 8. Facebook Page Name

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* 9. Additional Online Platform Information

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* 10. Communications Contact (if different than above)

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* 11. Are you a member of the Global Coalition Against Childhood Pneumonia?

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* 12. If no, would you like to become a member of the Coalition?

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* 13. Please describe what you have planned for World Pneumonia Day 2015.

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* 14. Can you share pictures, footage or materials from your activities?

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* 15. Do you give permission to have information related to your event posted on the World Pneumonia Day website, Facebook page or Twitter feed?

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* 16. Are you planning any other pneumonia advocacy events throughout the year?

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* 17. If yes, please describe what you have planned.

Thank you for taking the time to register your event. Your responses will be reviewed and, if applicable, you will be contacted for additional information. We reserve the right to use our discretion when selecting content to be published on WPD online communication platforms.

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