|
2000 Spring Meeting Press Registration Form |
|
|
||
| Fax to: | Harvey Leifert +1 (202) 328-0566 |
| Mail to: | Harvey Leifert |
| Or: | Take completed form to Spring Meeting Press Room. |
| Name (to be printed on badge): | |
Mailing
Address: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ |
|
| Telephone: | Fax: |
| Email Address: | |
| Media Affiliation:
______________________________________________________________ If freelancer: Indicate one basis of your eligibility below and bring relevent proof to meeting. _____ Member of NASW _____ Regional affiliate of NASW _____ CASW _____ ISWA _____ Letter from recognized publication assigning you to cover this meeting _____ Evidence of bylined science story published in 1999 or 2000 |
|
| Abstract Book (Check one box below) | |
| ____ Send Abstracts to me at the above
address by USPS First Class mail. ____ Send Abstracts to me at the above address (no P.O. Boxes!) via express service ____ Do not send Abstracts in advance; hold for me in the Press Room. |
|
| Name of service (e.g. FedEx, UPS, etc.): | _______________________________ |
| Class of service (e.g. next day, 2nd day, etc.): | _______________________________ |
| My Account Number: | _______________________________ |