Date: Fri, 27 Sep 1996 22:01:14 -0700

To: pr.bruxelles@agora.stm.it

From: KATE KAEMERLE

Subject: fasting application

APPLICATION FORM FOR THE FASTING DIALOGUE

(X) 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: (X) 2 Days

* We would like to know the dates of your fasting:

(X) September 30th

(X) October 1st

Name: Kate KAEMERLE

Complete address: 324 N. 80th Street - Seattle, Washington 98103

Country: United States

Telephone: 206-784-9419

e-mail: fareast@seanet.com

Profession/function: importing/marketing director

Organization: Far East Handicrafts & Imports