BioForum Registration
Please print this page, fill out the form below, and send the completed
registration form, with check payable to "CAS BioForum" for $15.00
per BioForum ($45 for all three) to: BioForum, Education Department,
California Academy of Sciences, Golden Gate Park, San
Francisco, CA 94118.
Note: No district invoices will be accepted.
__ Microbes 10/24/98
__ Conservation Biology 2/6/99
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__ Modern Systematics 4/17/99
__ All 3 in BioForum Series($45)
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(Please print.)
Last, First Name
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E-mail Address |
Home Address
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School Name |
City, State, Zip
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School Address |
County |
School City, State, Zip
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Home Phone |
School Phone |
Student Teachers:
University or College ____________________________________
Name and Title of Supervising Professional
_____________________________
Registration Deadlines
* October 16, 1998 for Microbes
* January 29, 1999 for Conservations
Biology
* April 9, 1999 for Modern Systematics
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For Office Use Only:
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Check#
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Confirmed w/receipt
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Entered CAS DB
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BioForum Index
