CSD NGO Women's Caucus Membership Registration Organisation (full name & acronym): Street & No.: City: Postcode: Country / State: Telephone (incl. country & area code): Fax (incl. country & area code): Email: Web-site: Contact Person Name: Telephone (incl. country & area code): Fax (incl. country & area code): Email: Issues your organisation is working on: Countries / Regions your organisation is working in: Stakeholder groups your organisation represents (please indicate): Women Youth Indigenous Peoples NGOs Farmers Business & Industry Trade Unions Scientific Community Local Authorities Other (please indicate): THANK YOU ! Please send / fax to: Chief (Mrs.) Bisi Ogunleye Country Women Association of Nigeria (COWAN) No. 7 Awosika Crescent Ijapo Est. Akure Ondo State NIGERIA Tel: +234 34 231 945 Fax: +234 34 241 001 and/or Chief Bisi Ogunleye / Pamela Ransom Women's Environment and Development Organisation (WEDO) 355 Lexington Avenue, New York, NY 10017, USA Tel: +1 212 973 0325 Fax +1 212 973 0335 and/or Minu Hemmati United Nations Environment and Development (UNED) Forum 3 Whitehall Court London SW 1A 2EL UNITED KINGDOM Tel: +44 207 839 1784 Fax: +44 207 930 5893