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            UA/GLOBE Teacher Training Workshop Registration Form
                    August 1999, UA Training, Tucson, AZ

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Directions: email or fax the following information to the address below
ASAP.

Todays Date:
                           * Required information

    * Teacher Name:

    * Email:                                         School / Home?

    What grade level do you
    teach?                        What subject?

    * Do you have internet access from a:
	                          Lab?               Class?
    Principal's Name:

    * Name of School:

    * School Address:

    * City:                       * State:           * Zip:

    * School Phone:               * Fax:


                                  Basic Training &   Research Workshop
                                  Workshop           Only
                                  Aug. 2-6           Aug. 5-6
    ~ $20/day registration:               $100                $40
    * 50% deposit required by
           7/26/99                       - $50              - $20
    Total due at registration:    $                  $


In order to contact you at home, if needed, please complete the following
information:
                             Useful information

    Home Address:

    City:                  State:                    Zip:

    Home phone:



Send to:

        Ms. Cyndy Henzel
	S.O.I.L.
        4920 S. Browning Ln.
        Tucson, AZ  85746
        (520) 883-1560, FAX: 883-4191
        Email: chenzel@gci-net.com