2006 Meeting Attendance Information

2010 MEETING ATTENDANCE INFORMATION

Name: __________________________________________________________

Name of Accompanying Person: ___________________________________

Department: ____________________________________________________

Institution: ___________________________________________________

Street Address: ________________________________________________

City: __________________________________________________________

State: _________________________________________________________

Postal code: ___________________________________________________

Country: _______________________________________________________

Email: _________________________________________________________

Telephone: _____________________________________________________

FAX: ___________________________________________________________

Title of presentation: _______________________________________________

________________________________________________________________

Preferred form of the presentation (talk or poster): ________________________

Time needed for presentation (for talk): _______________________

Do you want to work in the collections? ________________________

Do you want to go collecting? __________________________________

Please return this form (by Post, E-mail attachment, or FAX) by ???? to:

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2006MeetingInfo.pdf}

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