World Pneumonia Day Event Registration 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. Question Title * 1. Name Question Title * 2. Organization Question Title * 3. Country Question Title * 4. Phone Question Title * 5. Email Question Title * 6. Website Question Title * 7. Twitter Account Name Question Title * 8. Facebook Page Name Question Title * 9. Additional Online Platform Information Question Title * 10. Communications Contact (if different than above) Question Title * 11. Are you a member of the Global Coalition Against Childhood Pneumonia? Yes No Question Title * 12. If no, would you like to become a member of the Coalition? Yes No Question Title * 13. Please describe what you have planned for World Pneumonia Day 2015. Question Title * 14. Can you share pictures, footage or materials from your activities? Yes No Question Title * 15. Do you give permission to have information related to your event posted on the World Pneumonia Day website, Facebook page or Twitter feed? Yes No Question Title * 16. Are you planning any other pneumonia advocacy events throughout the year? Yes No Question Title * 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. Done