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FORM FOR SIGNATORIES OF ACTION FOR GENDER EQUALITY

(In preparation for the Fourth World Conference on Women: Action for Equality, Development and Peace)

We invite all persons interested in supporting the advancement of gender equality by endorsing the statement attached: "Action for Gender Equality"

Please type or print:

Name:

Title:

Organization (1):

Address:

City:

Country:

Zip/Postal Code:

Telephone:

Fax/E-mail:

Please feel free to write one or two sentences about your organization, and the constituency it serves, below:

SIGNATURE

Return form to: Balla Silla, c/o Harvard Center for Population and Development Studies, 9 Bow Street, Cambridge, MA 02138, United States; Email: ctcahill@hsphsun2.harvard.edu, Fax: 617.495.5418.

1 Organizations listed for identification/affiliation purposes only (signature does not imply organizational endorsement).