TWO IMPORTANT NOTES
1. PLEASE DO NOT HIT "RETURN" AFTER FINISHING YOUR ENTRY TO A PARTICULAR FIELD. IN SOME BROWSERS THIS WILL SUBMIT THE FORM. USE YOUR MOUSE OR TAB KEY TO MOVE FROM ONE FIELD TO ANOTHER.
2. THERE IS AN INITIAL SPACE IN EACH BLANK DATA FIELD. PLEASE AVOID REMOVING THESE FROM ANY FIELDS THAT YOU DO NOT USE -- THEY ARE THERE TO MAKE EXTRACTING THE DATA EASIER. SORRY THIS IS KIND OF PRIMITIVE, IT HAS TO DO WITH SECURITY-RELATED CONTRAINTS PLACED ON THE WEB ADMIN BY THE HOSTING IT DEPARTMENT. |
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First name
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(please use the name you want on your meeting badge) |
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Institution |
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Institution or home address, line 1 |
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Institution or home address, line 2 |
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Institution or home address, line 3 |
)[please list city, state or provence, zip or postal code, and country |
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E-mail (main) |
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E-mail (alternative) |
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home phone |
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cell phone |
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work telephone |
(please include extension, if needed) |
FAX |
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Arrival and Departure Dates
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Arrival Date:
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Depart Date: |
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| Are you willing to chair a talk session? If so please indicate the session topic(s) you prefer. |
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If you are planning on staying in the residence hall at UC in a double room and know the name of your roommate, please list the person's name.
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Roommate #1, if applicable
| Please indicate if you want to stay in a double room but need a roommate. |
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If you plan to present some slides etc. during the "Casual Night With Arachnids", please indicate what you would like to do.
Please be certain that you have read and will follow the new instructions for "Casual Evening" presentations. Approval for presentations is separate from indicating interest and is your responsibility (see instructions link above). |
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| If you plan to present something at the AAAFF "symposium", please indicate here. Also, please be sure to follow the same instructions as given for the "Casual Night with Arachnids". |
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If you plan to bring something for the Vince Roth Memorial auction, please indicate here |
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If you have any additional requests or questions, please write them in the box to the right or e-mail Rosie Gillespie
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Local Host Contact Information |
| Rosemary G. Gillespie |
Charles E. Griswold |
| University of California Berkeley |
Department of Entomology |
| Division of Insect Biology, 137 Mulford Hall |
California Academy of Sciences, 875 Howard Street |
| Berkeley, CA 94720-3114 |
San Francisco, CA 94103 USA |
| VOICE: (510) 642-3445 |
VOICE: (415) 379-5312 |
| FAX: (510) 642-7428 |
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| E-mail: gillespie@berkeley.edu |
E-mail: cgriswold@calacademy.org |
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