Last modified: Friday, July 7, 2006
"Issues in Education" media seminar July 28
Registration form
Friday, July 28, 2006 from 9 a.m. to 3:30 p.m.
Business/SPEA Building, Room 4095, IUPUI campus
Name/Title: _______________________________________________________________________________
Organization: _____________________________________________________________________________
Address: ________________________________________________________________________________
Phone and e-mail: _________________________________________________________________________
Names and titles of others attending from your organization:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Total number of registrations: __________
Amount enclosed ($30 per person): ____________
Please make checks payable to Indiana University
Please return by July 21 to: Issues in Education Seminar, IU Office of Media Relations, Carmichael Center, 530 E. Kirkwood Ave., Suite 203, Bloomington, Indiana 47408-4003.
