Stony Brook Human Evolution Symposium
ONLINE REGISTRATION IS NOW CLOSED.
You will need to register at the door on Tuesday, April 21, 2009.
Fees will be $10 students/ $15 General Public & Faculty
Proceed to the "WALK-IN REGISTRATION" table.
Date: 02/12/2012
Affiliation/Organization/Institution (Please use proper case, this will appear on your name tag!):
First Name (Please use proper case, this will appear on your name tag!):
Last Name (Please use proper case, this will appear on your name tag!):
Daytime Phone:
Email (
COMPLETE
Internet Email Address!!
jdoe@someplace.com
):
Verify Email:
Mailing Address
(Should match your billing address on your credit card statement)
:
Street Address:
Address cont.:
Address cont.:
City:
State:
Postal/Zip Code:
Country:
Stony Brook Human Evolution Symposium
"Hobbits in the Haystack:
Homo Floresiensis
and Human Evolution"
April 21, 2009
Staller Center for the Arts
Stony Brook University
Stony Brook, NY 11794
Registration is required to guarantee a seat consequently we strongly encourage pre-registration. Please complete 1 form for each person.
Registrations must be received by close of business:
April 16, 2009.
Status
SBU Faculty
Outside Faculty
SBU Student
Outside Student
General Public (including OLLI & Alumni)
Fees:
Students: $5.00
Faculty and General Public: $10
Please note that student identification will be required at registration.
Nonrefundable after April 16. Prior to that date, $5.00 fee for all cancellations
Onsite registration (on a space available basis) fees will be as follows: Student $10 Faculty/General $15. Cash or Check only.
Form Developed by Last Modified 02/12/2012 08:32:26 PM