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U.S. Department of State


Mr. Alan Lang, Chairperson
S/OF, Room 3835
U.S. Department of State, Washington, DC 20520
(202) 647-0532    Fax: (202) 647-4040

Open Forum Registration Form
(Please Print)

NOTE: Open Forum Guests must use the 23rd Street Entrance of the U.S. State Department (between C and D Streets, NW) for security clearance. If you do not have an identification badge issued by the U.S. Department of State or the U.S. Agency for International Development, please provide the following information:

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Please fax this registration form to: (202) 647-4040
ATTN: Ms. Terri Galloway, telephone: (202) 647-0444

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