Oil spill science seminar - Healthy Gulf Seafood Nov 2015 - Registration Form

Thank you for your interest in our oil spill science seminar, "Healthy Gulf seafood". This seminar will take place on Nov 18, 2015 at The University of Southern Mississippi Gulf Park campus in Long Beach, MS. To register, please fill out the form below. More information will be sent to you the week before the seminar. For more information, click here or contact Larissa Graham at Larissa.Graham@auburn.edu/251-348-5436.

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1. First name

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2. Last name

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3. Email address

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4. Affiliation

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5. How would you best describe yourself?

Elected official

Emergency responder

Environmental non-profit

Fishing industry, commercial

Fishing industry, recreational

Fishing industry, for-hire

Natural resource manager

Port or harbor employee

Public health official

Researcher

Tourism industry/business

Concerned citizen

Coastal resident

Other (please specify)

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6. What state do you primarily work in?

Texas

Louisiana

Misssissippi

Alabama

Florida

Two or more Gulf coast states

Outside the U.S. Gulf of Mexico

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7. Lunch will be provided. Would you like to join us for lunch?

No, thank you.

Yes, please!

Yes, but I have dietary restrictions. (Please outline below.)

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* 1. First name

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* 2. Last name

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* 3. Email address

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* 4. Affiliation

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* 5. How would you best describe yourself?

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* 6. What state do you primarily work in?

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* 7. Lunch will be provided. Would you like to join us for lunch?

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* 8. What questions do you have about Gulf seafood? (These will be provided to our speakers.)

1. First name

2. Last name

3. Email address

4. Affiliation

5. How would you best describe yourself?

6. What state do you primarily work in?

7. Lunch will be provided. Would you like to join us for lunch?

8. What questions do you have about Gulf seafood? (These will be provided to our speakers.)