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SUMMER INSTITUTE 2008 REGISTRATION FORM

June 23, 2008 from 8 a.m. - 4:30 p.m. and June 24, 2008 from 8 a.m. - 1:30 p.m.
Hotel Galvez, Galveston, TX

Personal Information
First Name:
Last Name:
Position:
Texas A&M University System Campus
Phone:
E-mail:
Lodging Information
Arrival Date:
Departure Date:
(Note: Check in time at the hotel is 4 p.m. The DTN will only provide hotel accommodations for the nights of June 22 (Sunday) and June 23 (Monday). However, Hotel Galvez will honor the $85 a night rate, based on availability, three days prior and three days following the Summer Institute.)
Room Type
Single
Double
If sharing with a colleague, please list colleague's name:
Special Accommodation
If you require any special accomodations (access or dietary), please specify below:
Submitting this application form guarantees placement in Summer Institute 2008.