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Week 1: June 8-13, 2008
Week 2: June 7-12, 2009

Country
United States
Other 		Payment
Full ($1450 US)

Registrant Information:
First Name:
 Last Name:
 Title:
Department:
 College:
 Street Address:
Mail Stop:
 City:
State:
 Zip Code:
 Country:
Email:
 Work Phone:
 Fax Number:
Do you have any dietary restrictions or special needs?
 

Supervisor Information:

Name:
 Title:
Email:
 Phone:
How did you hear about this Academy?
I attended an Academy
A colleague
Email from Chair Academy
Other

Cancellation & Transfer Policy

Before a program begins, substantial administrative costs related to your registration are incurred. Therefore, the following fees apply:

# Wks Before Program
more than 4 weeks
3-4 weeks
less than 3 weeks 		Substitutions
Yes (no fee)
Yes (no fee)
Yes (no fee) 		Transfer Fee
None
None
$75 		Cancellation Fee
None
$75
$125


By submitting this form, you are stating that you have read and agreed to the cancellation & transfer policy and accept its terms. We will invoice you for the registration amount.