Seventeenth International Twin Workshop
Registration
March 1 - March 5, 2004
Institute for Behavioral Genetics
University of Colorado
Boulder, Colorado
Name:
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Affiliation:
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Address:
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Telephone:
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Fax:
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E-Mail:
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Research Interests:
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The following information has been requested by the funding agency,
but a response is optional.
Gender: |
Male
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Female
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Do you
consider yourself to be Spanish/Hispanic/Latino? |
Yes
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No
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Which racial
category best describes you?
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Asian
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Native Hawaiian or
Other Pacific Islander
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Black or African
American
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White
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More than one race
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Unknown
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Fee
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Due Date
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Registration Fee:
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$300
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January 9, 2004
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$400
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January 10, 2004 or later
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The registration fee must be payable
in US funds on a US bank.
The registration fee is fully
refundable until February 1, 2004, but is not refundable after February
1, 2004.
Please make registration check
payable to "University of Colorado"
Mail to:
Kendra Locher
Institute for Behavioral Genetics
University of Colorado
447 UCB
Boulder, Colorado 80309-0447