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NDCRN Workshop Offerings - Fall 2006 REGISTRATION FORM
Name: Email Address: Phone Number: School/Institution Name: Address City: State: Zip :
Registration Options - by Fax, Phone or Mail (Note, this form cannot be submitted online.) Fax- Complete above form, print and fax to NDCRN at (701) 328-9731 Phone - Call the NDCRN at (701)328-9733 Mail - Complete above form, print and mail to: NDCRN, PO Box 5507, Bismarck ND 58506-5507
Please Check the Workshop(s) You Want to Attend
31 Dickinson 12/13/06- testGEAR New User - 8:30 to 4:00 - Dickinson Prof. Dev. Ctr,- 307 3rd Ave W