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The Institute for Advanced Education in Geospatial Science
2003 Course Creation Fellows Symposium

June 9 - 11, 2003

Fellows / Reviewers Questionnaire

Please complete and return ASAP but NO LATER THAN May 15
click here for a printable version of the questionnaire

ONLINE QUESTIONNAIRE

NAME
TELEPHONE - -
FACSIMILE - -
SOCIAL SECURITY # (this page is secure) - -
E-MAIL ADDRESS
     
I will drive in for the program. YES NO
   
Arrival Date
Departure Date
   
I will make my own flight arrangements and submit by airline payment receipt for reimbursement after the program . Airline tickets will be reimbursed for no more than $500. Should you be unable to book a flight for $500 or less, please contact Rusty Cooper at the address below for assistance. Only one author per accepted proposal will be reimbursed but others are welcomed to attend at their own expense. YES NO
     
I will need the Memphis Airport Shuttle. I will arrive per this schedule: YES NO
Date Airline Return Date
Flight # Arrival Time Departure Time
     
I will need a room (Alumni Hotel) single double
 
Audio Visual Needs (Please be very specific)

For more information about the conference, contact:

Rusty Cooper
Non-Credit Education

Post Office Box 879
The University of Mississippi
University, MS 38677–1848

Telephone: 662-915-7283
Fax: 662-915-5138
Email: rusty@olemiss.edu

 

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