2006 Showcase Registration Form

First Name:*
Last Name:*
Address:*
City:*
State:*
Zip:*
E-mail address:*
Phone:*
Degree Program:*	Other:
Job Title:*
Where you work:*
Please refer to the schedule for details about the breakout sessions.

Breakout Session Options:*

Docent led tours of the Horace H. Rackham School of Graduate Studies 4:30 p.m Yes No

* Required Field