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 SCIENCE EDUCATION INSTITUTE  

 

 

NJACE Workshop Registration Form 

 

Full Name (as it would appear on your certificate)

School District   

School name 

School Address (Town, State, Zip)  

Email (we will send confirmation to this e-mail address)

Grade

 

Phone Number

 

  Workshop(s) that you would like to register for:

 

Workshop Name

 Workshop Info

 Workshop Date

Fee

  More Info Thursday February 26, 2015 Fee: $100
Constructing Explanations  More Info Thursday March 3, 2015 Fee: $100
      More Info   Wednesday March 18, 2015 Fee: $100
  More Info Wed/Thurs July 8-9, 2015 Fee: $250
            More Info
Monday-Friday July 27-31, 2015 Fee: $250

 

Payment Options:

 

Comment / Other Notes:

 

If you have any questions, concerns or problems with this online registration form,

please contact Mariel O'Brien at (908) 526-1200 x8942 or email mariel.obrien@raritanval.edu

 

Please mail all payments to:

Raritan Valley Community College

New Jersey Astronomy Center

P.O. Box 3300

Somerville, NJ 08876

 

 


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