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REGISTRATION FORM FOR ARM AVP Workshop on Advances in Airborne Instrumentation for Measuring Aerosols, Clouds, Radiation and Atmospheric State Parameters University of Illinois, Champaign, IL, 14-16 October 2008 Levis Faculty Center NAME AFFILIATION ADDRESS ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ EMAIL PHONE/FAX ______________________________________________________ ______________________________________________________



Check all days you plan to attend



_______ TUE. ______ WED. _____ THUR.



Registration Fee:



$75.00 (includes breakfasts and lunches)



Credit Cards Accepted -- (Please Circle One) Master Card Visa American Express



Card Number: ______________________________________



Exp. Date _________



Cardholder’s Name (Print): _________________________________________________ Cardholder’s Signature: ___________________________________________________



Fax Completed form to: Jennifer Drennan 217-244-6323; jldrenna@atmos.uiuc.edu Confirmation will be emailed




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