Registration Form
Name: ____________________________
Title: _________________________________
Affiliation: ______________________________________________________
Mailing Address: ________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Phone: ________________ Fax: ________________ E-mail: ______________________
Vegetarian? ______________
Registration Fee: (make cheques payable to "APICS Animal Care Committee")
$60.00 by April 19, 2002 (includes lunch)
$75.00 after April 19, 2002 (includes lunch)
$75.00 after May 10, 2002 (doesn't include lunch)
Please print this form, complete, and mail along with registration fee to:
David Crowe
Biology, UNB
Fredericton, NB
E3B 6E1
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