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Southeast Regional Meeting in Lexington, KY

November 11, 2006

Griffin Gate Marriott Resort

REGISTRATION

Registration Instructions:
To register for the conference , please fill out the following information.

To register on-line, complete the form and press the “Submit Form” button.
– OR –

To register by fax, print the form, then fax to (321) 449-0739.
 

Registration Fees:
Registration Fee is $110.00 for attendees and guests. Payment of registration fees must be received by November 2, 2006

REGISTRATION FORM

Please print the registration form before clicking on the SUBMIT button

Attendee or Guest Attendee
Guest
Last Name:
First Name:
Name on Badge:
Title/Position:
Affiliation:
Address:
Address:
Address:
City:
State:
Zip:
Phone number:
Fax number:
Email Address:

Payment

The National Space Grant Foundation will be processing the registration payments. Attendees can pay their registration fees either by a credit card or check.

 

Credit Cards: http://spacegrant.org/c2/index.php?cPath=21_23
 
Checks:
  Payable to: National Space Grant Foundation
  Mail to:
   National Space Grant Foundation
   SE Regional Meeting
   PO Box 2616
   Georgetown, Texas 78627

    Phone # 202-536-3030

If you need an invoice for check payments, please contact Mark Fischer at 202-536-3030 or fischer@spacegrant.org


Foundation's federal tax id 52-2288711

Please include a copy of your registration form along with your check.
 

 


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