Girl Scouts of WNY and National Grid STEM Community Forum Registration

STEM Community Forum Registration
May 23, 2013
Buffalo Museum of Science
1020 Humboldt Parkway
Buffalo, NY 14211
1. Your last name?
2. Your first name?
3. What is the company/organization you are representing?
4. What is your title?
5. What is your phone number (with area code)?
6. Your email address?
7. Will you be bringing a guest?
8. What is the name and title of your guest?
9. Will you be staying to listen to the Girl Forum?
The Girl Forum will take place from 3:30-4:30pm in the auditorium at the Buffalo Science Museum. Girls will have the opportunity to ask questions of a panel of women engaged in STEM careers.
Thank you. We look forward to seeing you at the event.
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