Please check the date you wish to
attend:
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Instructor's Name:
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School:
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School Address:
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City:
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State:
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Zip:
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Phone:
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E-Mail:
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Number of Students
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Will you require parking for a vehicle?
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Yes
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No
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If yes, please indicate:
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No. of Cars
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No. of Buses or Vans
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For further information, please contact:
Cynthia A. Brossman
Boston University
Learning Resource Network
590 Commonwealth Avenue
Boston, MA 02215
Telephone: (617) 353-7021 / Fax: (617) 353-6062 / e-mail:
cab@bu.edu
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