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Media Contacts

Tracy James
IU Media Relations
traljame@indiana.edu
812-855-0084

Last modified: Friday, July 8, 2005

"Issues in Education" media seminar Aug. 4

Registration form

Thursday, August 4, 2005 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 ($25 per person): ____________

Please make checks payable to Indiana University

Please return to: Issues in Education Seminar, IU Office of Media Relations, Carmichael Center, 530 E. Kirkwood Ave., Suite 203, Bloomington, Indiana 47408-4003.