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Registration Form
Deadline: May 6, 2009
(This form may be submitted online, faxed, or mailed to the address below.)
NAME:

CAMPUS:


PHONE:

E-MAIL:

Please note any special physical/communication needs: 


TRANSPORTATION:
   I will be flying to/from the Palm Springs International Airport
  I request a ride to/from the airport.
  Airline:
  Arrival date and time:      Flight no.:
  Departure date and time: Flight no.:
 
   I need a ride from the hotel
  Hotel:
 
   I will drive to UCR - Palm Desert Campus.
  Reciprocal parking privileges are available with a UC parking permit, (driving directions, parking).
 
MEAL OPTIONS
 


 

If you are not registering online, mail the completed registration form to:

Geetha Yapa
Science Library
University of California, Riverside
P.O. Box 5900
Riverside CA 92517-5900
Fax - (951) 827 6378

If you have questions about registration, contact Geetha Yapa at (951) 827-6442 (geethay@ucr.edu) or Diana Lane, (951) 827-6440 (lane@ucr.edu).

Last modified: 9/11/2014 10:40 AM by K. Furuta