Global Road Safety Decade of Action NGO Working Group

Online registration for the February 24th meeting is now closed, but you may use this form to be notified of future working group meetings. Please be in touch with dinhzarr@dinhzarr.org if you have questions.

To use this form to register as a member of the ongoing NGO working group (governmental representatives welcome), please leave blank or answer "no" to questions relating to the February 24th meeting. If your organization is bringing materials to display, please contact Joyce Pressley with any related questions jp376@columbia.edu. For other questions, please contact Bella Dinh-Zarr at b.dinhzarr@fiafoundation.org. Fields with an asterisk (*) require a response. You must bring a photo ID for admittance. Please note the address carefully as there are multiple National Academy of Science buildings. Meetings are from 8:30 am to 4:00 pm at 2101 Constitution Avenue NW. The closest metrostop is Foggy Bottom/GWU (orange and blue lines). Additional travel information is available at National Academy of Sciences Travel Directions.

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You can view the resolutions from the First Global Ministerial Conference on Road Safety: Time for Action (Moscow Declaration) here: Moscow Declaration

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* PART I: REGISTRATION IS NOW CLOSED

I will attend the Global Road Safety Decade of Action NGO Working Group meeting (governmental representatives welcome) in Washington DC on Wednesday, February 24, 2010. If YES, please complete the registration information below. If NO, but you would like to be a member of the Global Road Safety Decade of Action NGO Working Group, please continue the survey.

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* Please use the information below to register me as a member of the Global Road Safety Decade of Action NGO Working Group (governmental representatives welcome).

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* First Name

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* Last Name

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* Badge Name

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* Position/Title

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* Organization/Affiliation

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* Organization URL

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* E-mail

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* Phone Number

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* Street Address

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* City

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* State

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* Zip Code

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* You have permission to distribute my contact information to the Global Road Safety Decade of Action NGO Working Group.

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* I would like table space to display printed materials that I will bring for distribution to attendees.

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* I will eat lunch at the National Academy with attendees of the meeting.

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* Special Dietary Requests

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* PART II: OBJECTIVES, ISSUES AND ACTION PLAN

A. The Global Road Safety Decade of Action NGO Working Group Meeting objectives are to:
1) Disseminate information from the First Global Ministerial Conference on Road Safety held in Moscow in November 2009;
2) Foster collaboration and joint activities;
3) Discuss and identify strategies for the Decade of Action.

My objective(s) for attending the upcoming Global Road Safety Decade of Action NGO Working Group meeting and/or for registering to be part of the Working Group are (please check all that apply).

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* B. What do you think meeting/Working Group organizers could do in advance to increase the likelihood that your objectives for attending will be met?

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* C. What actions/activities would you like to see come out of the meeting?

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* D. What issues/actions/activities would you like to see the Working Group address?

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