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Online News Media Registration Form

Required fields are indicated with a red asterisk, [*]

Fill out this form and click the Submit button below, or use a printer-friendly version of this form that can be mailed or faxed.

* First Name:
* Last Name:
* Media Affiliation:
* Title:
* Mailing Address:
* Work Phone:
Fax:
* Email:
Freelancers: Member of NASW
Regional affiliate of NASW
CSWA
ISWA
SEJ
Letter from recognized publication assigning you to cover this meeting
Evidence of bylined science story published in 2007 or 2008


Field Trip Registration: I would like to participate in the field trip on Sunday, 14 December. (Destination to be decided)

Enter value 5041 into this box: (Spam prevention)

 

Press pre-registration deadline is Friday, 5 December 2008. Form must be received at AGU by that date for your badge to be available upon arrival, avoiding delay. You may also register on site.

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Page last modified on September 08, 2008, at 01:47 PM

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