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AMISR In Africa

Registration

to attend the "amisr in africa" workshop at BC march 1-3, 2012

NOTE: The Workshop has finished. Registrations are now closed.

This workshop is by invitation only. 

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First name of registrant.
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Last name of registrant.
 
Title of registrant.
 
Agency, College, University, Corporate affiliation of registrant.
 
First line of street, building address of registrant.
 
Second line of street, building address of registrant.
 
City of registrant.
 
State or Province of registrant.
 
Postal or ZIP Code of registrant.
 
Country of registrant.
 
Work Telephone of registrant.
 
Cellular or Mobile Phone of registrant.
 
Facsimile machine number of registrant.
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