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Name:
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___________________________________________ |
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Affiliation:
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___________________________________________ |
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Street
Address:
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___________________________________________ |
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City:
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State: |
________ |
Zip Code:
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_________ |
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Are
you a science educator (Please circle one answer):
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YES
or NO
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Number
of CDs @ $10.00 each:
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________ |
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Total
amount enclosed:
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________ |
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Please
make checks payable to "The
Virginia Institute of Marine Science".
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We
cannot accept credit cards or purchase orders.
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Please
allow 2-4 weeks for delivery.
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