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INSIDE THE MIND OF A SUICIDE BOMBER SECURITY - BACKGROUND - REGISTRATION FORM Date Tour Name Inside the Mind of a Suicide Bomber Date January 9th 11th 2012 This application must be filled out completely by all applicants. Name Title Occupation Agency Day Phone Cell Phone Fax E-Mail Address City State Zip Country Person to contact in case of an emergency Phone Pager/ Cell Relationship Are you US citizen Passport When does passport expire Are you .

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