Print this registration form and submit via fax or mail.
_______ March 14-15, 2012
_______ May 9-10, 2012
_______ October 3-4, 2012
______ I have special needs and would like to be contacted by an AWIC representative.
In the event a workshop session is cancelled by AWIC, registrants will be notified as soon as possible. Please note: You will receive confirmation of your registration request. If your confirmation is not received within 2 weeks, please contact the Center.Name (print or type)
Title
Organization Name
Mailing Address
Phone
Fax
Are you an IACUC member? ___Yes ___No
Are you an experienced database searcher? ___Yes ___No
Are you familiar with AGRICOLA? ___Yes ___No
Do you search it on ___Dialog ___BRS ___CD-ROM ___Web
What would you like to learn from the workshop?
This class is free of charge. Space is limited to 20 people. Deadline for registration is one month prior to class date.
In the event a workshop session is cancelled by AWIC, registrants will be notified as soon as possible. Workshops will be held at the National Agricultural Library (travel information). For additional information, call (301) 504-6212.Please fax this form to (301) 504-7125 or mail it to:
Last Modified Oct. 26, 2011
According to the Paperwork Reduction Act of 1995, an agency may not
conduct or sponsor, and a person is not required to respond to,
a collection
of information unless it displays a valid OMB control number.
The valid
OMB control number for this information collection is
0518-0033. The
time required to complete this information collection is
estimated to
average 5 minutes per response due to the averaging of check boxes and text fields.. |