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Workshop Registration Form
Posted May 22nd, 2008 by akorkin
Registration form for the Arizona workshop for Renewable Energy
Title:
select...
Dr.
Prof.
Mr.
Ms.
First, Middle and Last Name:
*
Telephone:
E-mail:
*
Organization:
*
Department:
Personal or Group web page:
Your expertise:
Your focus in Renewable Energy:
Are you interested in making a presentation?:
select...
Yes
No
If "Yes" what would be the title of your talk?:
Are you a full-time student?:
select...
Yes
No
Payment Information:
By check: Make checks payable to ASU Foundation and mail to Rebecca Davis, ASU OVPREA, PO Box 877205, Tempe, AZ 85287-7205 By credit card: Provide your credit card information to Rebecca Davis by phone (480-965-5636) For cash payment, please contact Rebecca Davis by phone (480-965-5636) If you need an invoice or tax form, please, send your request by e.mail to Rebecca.Davis{at}asu.edu
The workshop fee:
Regular - $100, Full-time student - $25, Exhibition - $500 How will you pay the workshop fee? - Credit Card, Check or Cash Remove inappropriate from above and SUBMIT
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