Online Registration | ASIA HARM REDUCTION FORUM 2022

ONLINE
REGISTRATION

ONLINE REGISTRATION

ASIA HARM REDUCTION FORUM

28 October 20222 | MANILA | The Manila Hotel

Please complete this form to register for The Asia Harm Reduction Forum 2022. It is important that you complete the details of the “attendee” specifically their email address.

First Name

Last Name

Institution / Organization

Job Title / Role

Department

Address

City

County / State / Region

ZIP / Postal Code

Telephone

If other, please specify

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