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NWGS Dinner Reservation Form
Tuesday, 10 October 2017

Speaker: The Pale Blue Dot ThroughTime, Michael Kipp, UW Earth and Space Sciences and Astrobiology

Reservations should be received by Thursday, 4 May to avoid a late penalty.

PLEASE REGISTER GUESTS SEPARATELY, NOTING THE SPONSORING NWGS MEMBER IN THE COMMENTS.

NOTE: Your reservation(s) will not be confirmed until receipt of payment. Once you have submitted this form, you will be given payment options and instructions.

Last Name *
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First Name *
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Affiliation
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Email address *
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Select your reservation type
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