STEM Community Forum Registration
May 23, 2013
12:30-2:30pm
Buffalo Museum of Science
1020 Humboldt Parkway
Buffalo, NY 14211

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* 1. Your last name?

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* 2. Your first name?

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* 3. What is the company/organization you are representing?

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* 4. What is your title?

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* 5. What is your phone number (with area code)?

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* 6. Your email address?

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* 7. Will you be bringing a guest?

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* 8. What is the name and title of your guest?

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* 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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