From: "Warwick Armstrong"

Date: Thu, 26 Sep 96 16:37:19 EST

To: pr.bruxelles@agora.stm.it

Subject: Fasting Dialogue

APPLICATION FORM FOR THE FASTING DIALOGUE

I will participate in the fasting dialogue for the liberation of Gedhun Choekyi Nyima, XIth Panchen Lama and of the Chinese dissident Wei Jingsheng.

I have the intention to fast one day on Wednesday, 2nd October.

Name: Elaine R Arshinoff

Address: 2066 Claremont, #61, Montreal, Quebec, H3Z 2P8, Canada.

Telephone: (514) 489-0186

Profession: CTC Executive

Organisation: Canada Tibet Committee

Declaration: My thoughts, prayers and support will be with them on the day of my fast and until they are liberated.

Elaine Arshinoff