International
Conference
on Biodiversity & Society
Columbia
University and
the UNESCO
Division of Ecological Sciences
May 22-25, 2001
Registration
Form
International
Conference on Biodiversity and Society
The Rotunda, Low Memorial Library
Columbia University
New York, New York 10027
May 22-25, 2001
Please type or attach a business card; for additional registrants,
duplicate this form.
Name
|
Job Title
|
Functional
Area
|
Company
|
Address
|
City
|
State
|
Zip
|
Telephone:
|
Fax
|
email
|
Country
|
Registration Fees (payable
in advance in U. S. dollars) US$ 395.00
| Payment |
|
Check
payable to Columbia University for $395.00 |
|
Charge
to my: |
Mastercard |
|
Visa |
|
American
Express |
|
Account.No.
|
Exp.Date
|
Signature
|
Date
|
By Fax: Complete registration
form and fax to: 212-854-6309
By Mail: Complete registration form and mail to
The Columbia Earth
Institute
405 Low Memorial
Library
New York, New York
10027
Confirmed registrants who
fail to attend and do not cancel three weeks prior to the event,
will be charged the entire registration fee. Registration forms
should be submitted by April 20, 2001.
Hotel Accommodations.
Fees do not include hotel accommodations.
______ Please send me more
information on Columbia Earth Institute events.
