Summary: The Plant Center Retreat Registration Form for UGA & Related Institutes
October 28-29, 2010
Deadline for registration is Tuesday, 19 October 2010 at the latest.
Please type or neatly print the following:
We apologize that our room block is totally filled, so we cannot accept any more
registrations for the retreat. As an alternative, we are offering a day registration for
E-mail address: ____________________________________________________
Work Phone: ___________________________
Are you on UGA Payroll?
Yes - _____________last 4 digits of social security number (required to attend)
No - __________________ 9 digit social security number (required to attend)
Check Status: Faculty Staff Postdoc Grad-Student Undergrad
Registration fee: $35.00 (Friday Only)