Submission Form
Association of Washington Geographers
Spring 2000 Meeting
Central Washington University
Ellensburg, WA
April 28th and 29th, 2000
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Name: | ____________________________________ |
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Affiliation: | ____________________________________ |
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Address: | ____________________________________ |
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City: | ____________________________________ |
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State/Zip: | _________________ |
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Phone: | _________________ |
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Fax: | _________________ |
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Email: | _________________ |
I will give a presentation at the meeting entitled:
_________________________________________________________________________
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I am a faculty/professional registering on or before 21 April at the early rate-$10 | $_______ |
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I am a faculty/professional registering after 21 April-$15 | $_______ |
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I am a full-time student registering-$5 | $_______ |
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I wish to attend the Friday evening dinner and keynote speech (circle if vegetarian)-$18 | $_______ |
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Total Registration Fee: | $_______ |
Mail this form with check or money order (made out to Geography Department-CWU) to:
Geography and Land Studies Department