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Registration
Deadline for Registration: March 1, 2004
Name: __________________________________________________
Institutional affiliation: ______________________________________
Mailing address: __________________________________________
Email: __________________________________________________
Dietary restrictions? _______________________________________
Other special needs? ______________________________________
Registration fee none
Total Due: __________
Please print this page and send it with a check in the correct amount (payable to Duke University) to:
Susan Ashley Wilson
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Copyright 2004 Duke University – Durham, NC 27708 USA
Last updated 01/13/04 Tel: (919) 660-3160 Fax: (919) 660-3166 Email: sawilson@duke.edu |
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