Registration - SCDP - University of Massachusetts Dartmouth

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SCDP

Marine Science and Technology Business Opportunities: A Forum for Partnering November 1, 2007 ATMC, Fall River, MA
Name:
Email:
Company/organization:
Mailing Address:
City:
State:
Zip:
Telephone Number:
Attendees:	Regular Attendee ($50): Sponsor Attendee ($40): Full-Time Students (no charge):
Price:	$

Payment Options:
By Check: Make checks payable to: South Coast Development Partnership (SCDP) Mail Checks to: Marine Science & Technology Forum ATMC UMASS Dartmouth 151 Martine Street Fall River, MA 02723	By Credit Card: This is not a secure site. To pay by Credit Card please complete this form, print and fax to: 508.999.9120 Call: 617.306.2764 for details. Circle one: Master Card Visa Discover Credit Card Number: Exp. Date: 3 Digit Security Code: Name on Card:

Payment Options:

By Check:
Make checks payable to:
South Coast Development Partnership (SCDP)
Mail Checks to:
Marine Science & Technology Forum
ATMC
UMASS Dartmouth
151 Martine Street
Fall River, MA 02723

By Credit Card:
This is not a secure site. To pay by Credit Card please complete this form, print and fax to: 508.999.9120

Call: 617.306.2764 for details.

Circle one:
Master Card Visa Discover

Credit Card Number:

Exp. Date:

3 Digit Security Code:

Name on Card:

Contact Info:

Maggie Merrill, Martrep@aol.com, 617.306.2764

University of Massachusetts Dartmouth

SCDP

Contact Info:

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