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2011 GLRC Student/Faculty 21st Annual Conference Online Registration Form

* REQUIRED FIELDS

(include area code)
* I will be attending (please check the blank boxes)
*Fees: All fees are in U.S.Dollars and include the banquet on Friday and luncheon on Saturday.
Registrations received after March 4th (Friday) will be subjected to a $10 late registration fee.
Faculty of Consortium Institutions $100 ($110 after March 4th)
Students of Consortium Institutions $25 ($35 after March 4th)
Students Presenting Free
All Others: $125 ($135 after March 4th)
All Others: Friday only (includes banquet) $100 ($110 after March 4th)

*Payment: Check, Cash, or Credit Card.
Sorry but we do not provide online credit card registration system for security issue, please send us your check (Payable to SUNY Research Foundation) by mail, or download our credit card form here and send by fax at 315-470-6970. Otherwise, pay at the registration desk.

I will be paying by check.
I will be paying by credit card.
I will be paying by cash at the door.


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State University of New York College of Environmental Science and Forestry
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