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.
