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IBM Summer School 2008

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Legal name as it appears on your government-issued photo ID (for security reasons):*

Preferred name on conference name badge

School*

E-mail Address*

Telephone Number*

Fax Number*

Address*

City*

State*

Zip Code*

Country*

Can we reach you at the above address during the summer?*
Yes
No (please provide summer address below)

E-mail Address*

Telephone Number*

Fax Number*

Address*

City*

State*

Zip Code*

Country*

Special diet or needs*

Emergency Contact Name*

Phone Number*

Will you attend the Tuesday evening functions?*
Yes No

Where will you stay while in Rochester?*
Radisson
Other

Will you be utilizing the transportation provided by IBM during Summer School?*
Yes No

Several educators have told us they would like to come in early for a Roundtable event to be held all day Saturday and Sunday morning, May 17-18th. The educators will run this event, and IBM will provide the facilities. Those educators attending will determine the agenda prior to the Roundtable. If you would like to be involved with Roundtable please let us know below.

Will you be attending the Roundtable event May 17-18th?*
Yes No