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| ONE-DAY REGISTRATION FORM Print this form from your browser and complete the information below. Send your check payment to the address below. |
| GWIS 87th Annual National Conference ONE-DAY REGISTRATION The Global Impact of Environmental Change June 28, 2008 Johns Hopkins University Montgomery County Campus 9601 Medical Center Dr. Academic and Reseach Building room 106-110 Rockville, MD 20850 8:30 AM - 5:00 PM *(tentative agenda) |
| Sponsored by GWIS Omicron Chapter Washington D.C.Metropolitan Area |
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| CONFERENCE REGISTRATION FEE Registration Deadline: June 24, 2008 One-day Conference $ 60.00 Saturday, June 27, 2008 TOTAL AMOUNT ENCLOSED (Make check payable to GWIS Omicron Chapter) |
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| Name ______________________________ Email ___________________________ Affiliation ____________________________ Address _____________________________ City ________________________________ State ___________ Zip or Postal Code __________ Phone No. __________________________ Send this registration form and payment to: GWIS Omicron Chapter c/o C. Jung (Please make checks payable to: 912 Balboa Dr. GWIS Omicron Chapter) Silver Spring, MD 20905 You will receive email confirmation of your registration. Questions? Email [email protected] |