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Event Registration Form College Completion Summit -#80481

Summary: Event Registration Form
College Completion Summit - #80481
03/19/2012 - 03/20/2012
name - please print or type preferred name for name badge date of birth
organization/employer position
business mailing address or home address
city state zip county
country and postal code (if outside the USA)
home phone work phone fax
e-mail address Please send me e-mail information about Georgia Center programs
By registering for this event, I agree to comply with all event cancellation policies. (1) If you learn that you will be unable to attend, please cancel your
registration by 5:00 p.m. ET on or before March 12, 2012. (2) To change or cancel your registration, call 800-884-1381, Monday through Friday, 8:00 a.m. to 5:00
p.m. ET. (3) If an event is cancelled for any reason, The Georgia Center will not be responsible for any charges related to travel.
Your registration will not be processed until payment is received.
Event Registration
No Charge $0 ______
Total $______
To request a room reservation at the Georgia Center Hotel, please call 706-542-


Source: Arnold, Jonathan - Nanoscale Science and Engineering Center & Department of Genetics, University of Georgia


Collections: Biotechnology