Last modified: Monday, July 2, 2007
"Issues in Education" media seminar July 20
Registration form
Friday, July 20, 2006 from 9 a.m. to 2:45 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): ____________
Lunch will be provided. Please indicate which type of lunch you'd like: ___ Meat ___ Vegetarian
Please make checks payable to Indiana University
Please return by July 13 to: Issues in Education Seminar, IU Office of Media Relations, Carmichael Center, 530 E. Kirkwood Ave., Suite 203, Bloomington, Indiana 47408-4003. If you have questions, please e-mail Nicole Roales: nroales@indiana.edu.
