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If you would like additional information or have questions about the Chemical Biology Initiative, contact:

Dr. Carston R. Wagner
Phone: 612-625-2614
Email: wagne003@umn.edu

Chemical Biology Workshop

Home > Chemical Biology Workshop > Chemical Biology Initiative: Registration

Chemical Biology Initiative: Registration

Chemical Biology Workshop Registration Form

Workshop Date: October 18
Location: Coffman Memorial Union Great Hall
Sponsor: Chemical Biology Initiative

Participant Information:
First Name:	Last Name:

Title:

Institution/Department/Company:

Mailing Address:

City:	State:	Zip Code:

E-mail Address:

Telephone:	FAX:

Keynote and Other Invited Speakers:
Please check all that apply to you. Please note: PowerPoint presentations must be submitted by October 1st. If you require other audio-visual resources, please specify below.
I will submit a PowerPoint presentation.
I will need other audio-visual resources:
Luncheon: Provided for all Registrants
You must be registered to attend the luncheon. To request a vegetarian lunch, please specify below.
Please order a vegetarian lunch for me.

Questions? Please contact:

Amy Olson
Chemical Biology Initiative
University of Minnesota
olson017@umn.edu

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