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APLIC 2004 Conference Registration Form

Registration Deadline: March 12, 2004

37th Annual Meeting
Global Information Dissemination & Management: Focus on Health
Sheraton Boston Hotel
Boston, Massachusetts
March 29 - 31, 2004

Name: __________________________________________________
Organization: __________________________________________________
Address: __________________________________________________
  __________________________________________________
  __________________________________________________
Telephone: __________________________________________________
Fax: __________________________________________________
Email: __________________________________________________

Special dietary requirements for banquet:
_______________________________________________________________
_______________________________________________________________

Conference Registration fee:
       $150 for members (includes banquet)
       $175 for nonmembers (includes banquet and 1 year membership)
       $50 for students

Stipends
APLIC-I offers stipends for conference attendees. The APLIC-I Board wishes to encourage attendance from as many members as possible. and has determined that a maximum of $2000 per year is allocated for granting stipends related to APLIC-I conference attendance.

Members wishing to request a stipend should submit a letter stating need to
the review panel. The panel to determine the awards remains: Bill Barrows
(bbarrows@fhi.org), Margie Shiels (mshiels@fhi.org), and Julia Cleaver
(cleaverj@ipas.org). Submission deadline: February 23, 2003.

 

Mail checks and this registration form by March 12, 2004 to:

Gretl W Cox
Information Resource Manager
Family Health International
Institute for HIV/AIDS
2101 Wilson Boulevard #701
Arlington, VA 22201
tel. 703.516.9779
fax 703.516.9781
Email: GCox@fhi.org


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Last updated 1/20/04