Drosophila Media Registration

1. Media Registration | 52nd Annual Drosophila Research Conference,March 30-April 3, 2011

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Free registration is available to media representatives, including those from bona fide print, broadcast, radio, and online venues. Freelance journalists must send Phyllis Edelman a confirmation letter of assignment from their editor on the news organization’s letterhead upon completion of this form.

Representatives of related fields – meeting exhibitors, public information, public relations or public affairs officers – must register as nonmembers at the nonmember conference rate

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* 1. Personal Information:

First Name:

Last Name:

Job Title:

Cell Phone:

Fax:

E-mail:

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* 2. Mailing Information:

Address:

Address 2:

City/Town:

State:

ZIP/Postal Code:

Country: