To: ngoconf@info.usaid.gov
From: [re_email]
Subject: Community Action Program Conference Registration

Name: [r_fname] [r_lname]

Title: [r_title]

Organization: [r_organization]

Mailing Address:
[r_street1]
[street2]
[r_city], [r_state], [r_zip]

E-mail: [re_email]