2012 NCSCE Washington Symposium Guest Registration
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Washington Symposium Registration

Thank you for your interest in the National Center for Science and Civic Engagement's Washington Symposium. We look forward to meeting you in March.

The information you provide on this form will allow us to plan properly for space and food needs. Please feel free to contact us at 202-483-4600 with any questions leading up to the Symposium.

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1. Contact Information

Contact Information Name:
Organization:
Address:
City/Town:
State:
ZIP:
Email Address:
Phone Number:

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2. Symposium activities will be held from Sunday, March 11 - Tuesday, March 13. A detailed schedule may be found at www.sencer.net under 'Symposia' on the DC Symposium 2012 page.

The following meals will be provided:
March 11: Appetizer reception
March 12: Breakfast, lunch, appetizer reception
March 13: Lunch

Please let us know which days you will join us for the Symposium. We welcome you to join us for the entire event, or to pick the days that work with your schedule.

Symposium activities will be held from Sunday, March 11 - Tuesday, March 13. A detailed schedule may be found at www.sencer.net under 'Symposia' on the DC Symposium 2012 page. The following meals will be provided: March 11: Appetizer reception March 12: Breakfast, lunch, appetizer reception March 13: Lunch Please let us know which days you will join us for the Symposium. We welcome you to join us for the entire event, or to pick the days that work with your schedule. Sunday, March 11 (4:30pm-7:30pm at the Koshland Museum of Science)

Monday, March 12 (8:30am-6pm on Capitol Hill)

Tuesday, March 13 (11:30am-3pm on Capitol Hill)

All days

2012 NCSCE Washington Symposium Guest RegistrationExit this survey

Washington Symposium Registration

*1. Contact Information

2012 NCSCE Washington Symposium Guest Registration
Exit this survey

*
1. Contact Information