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Print and complete this form and send with cash, check or money order for $5.00 payable to AAUW Transitions Conference, 514 Fearrington Post, Pittsboro, NC 27312. Lunch and child care are included only if registration is received by April 5.
Name: ____________________________________________
Address: __________________________________________
City, State, Zip: ____________________________________
Home phone: ____________ Work Phone: _______________
e-mail (optional) ____________________
Please check the two workshops you would like to attend:
_____ Information Systems _____ Early Childhood Education
_____ Health Careers _____ Bioprocess Manufacturing Technology
Please list any dietary restrictions such as vegetarian or food allergies ________________________
I will need child care in: _____
Pittsboro (ages 1-8) _____ Chapel Hill (ages 1-12)
for the following children:
Name: ______________________________ Age: _______
Allergies ____________________
Name: ______________________________ Age: _______
Allergies ___________________
Last updated:
21-Feb-2002
Back to AAUW Chapel Hill