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GLEON 9 Registration

List of Current Gleon Members
GLEON Web Support

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General Info First Name
Last Name
Email Address
Cell Phone Number

Travel I will be flying to the GLEON 9 meeting (transportation will be provided between the airports and the meeting)
Yes No

If yes, please provide your flight arrival information for final leg of trip:
Airport of arrival in Wisconsin
Date of arrival in Wisconsin
Airline
Flight Number

Also, please provide your flight departure information for first leg of return trip:
Airport of departure from Wisconsin
Date of departure from Wisconsin
Airline
Flight Number

I am not flying to the GLEON 9 meeting and will need a ride Yes No

If you need a ride:
Where do you need a ride from?
When would you like to arrive at the meeting (time and date)?

I am willing to drive a fleet or rental car, if needed Yes No

I am providing my own transportation to the meeting Yes No

If you are providing your own transportation:
When do you plan to arrive (time and date)?
When do you plan to depart (time and date)?

Miscellaneous Dietary restrictions
No Vegetarian Special -- please specify

Name tag - please indicate how you would like your name, institution and country displayed on your name tag:
Name:
Institution:
Country

I would like to participate in (please check all that apply):

Workshop: Physical Limnology, 9:00am-12:00pm, Monday October 12
Workshop: Communicating Science to the Public, 4:00pm-5:00pm, Monday October 12
GLEON overview session, 5:00pm-5:30pm, Monday October 12

I am bringing others with me to the meeting (family members, guests)
Yes No

Additional Information you would like to provide:

Tuesday, April 26, 2011
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GLEON 9 Registration

List of Current Gleon Members GLEON Web Support

Fields in red are required

List of Current Gleon Members
GLEON Web Support