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Expression of Interest

DARWIN 200: Evolution and Biodiversity

The Combined Australian Entomological Society’s 40th AGM & Scientific Conference / Society of Australian Systematic Biologists / 9th Invertebrate Biodiversity & Conservation

If you are interested in participating in the DARWIN 200: Evolution and Biodiversity Conference, please complete the Expression of Interest Form below. Your information will be sent via email to the Conference Secretariat.

The form below has a 'submit' link to sally.brown@uq.net.au. Should you have difficulty for some technical reasons, kindly copy and paste the following information into your email and send to the conference manager, sally.brown@uq.net.au.

EXPRESSION OF INTEREST FORM

Title: [req]
First Name: [req]
Surname: [req]
Organisation:
Position:
Address Line 1: [req]
Address Line 2:
Address Line 3:
Suburb/Town: [req]
State:
Country:
Postcode:
Telephone (work): [req]
Facsimile:
Mobile:
Email: [req]
I WOULD BE INTERESTED IN:
Presenting a paper
Yes No
If yes, please state title of proposed paper:
Presenting a poster
Yes No
If yes, please state title of proposed poster:
Opportunities for poster presentations are limited.
 
Are you planning to attend the Charles Darwin Symposium prior to the DARWIN 200 Conference?
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Last Updated ( Monday, 05 January 2009 )
 

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