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form Milla Riggio Alternatively, print and fax to ( or copy and e-mail to: Milla.Riggio@trincoll.edu (or) Carnival@trincoll.edu
NAME: ________________________________________ HOME INSTITUTION: ______________________________________________ MAILING ADDRESS: ______________________________________________ ______________________________________________ PHONE NUMBER: _________________ FAX NUMBER: ________________ E-MAIL: ________________________________________ PAPER TITLE: ______________________________________________ ______________________________________________ EXPECTED DATE OF ARRIVAL: ___________________________________ EXPECTED DATE OF DEPARTURE: _________________________________ ACCOMMODATIONS REQUIRED? Yes No (Circle One) ADDITIONAL COMMENTS/SUGGESTIONS: ______________________________________________ ______________________________________________
REGISTRATION FEES: CHECK ENCLOSED ______YES _____NO ALSO AVAILABLE: SPECIAL STUDENT RATES, PREFERRED CONTACT NUMBER: _____________ For more information, please contact the organizers
at the |