Text Box: REGISTRATION FORM
(Please return by September 23, 2002)
Mid-Atlantic Chapter SWANA
Annual Meeting – September 27, 2002
Registration Fee - $10.00

NAME:																										
AFFILIATION:																										
ADDRESS:																										
																										
TELEPHONE:					    FAX:	     											

Payment Enclosed   ____________ ($10.00 – Please make checks payable to SWANA Mid-Atlantic)
	(No confirmation notice will be sent – please call to confirm)

Mail to:	c/o Martin Sanford
		Camp Dresser & McKee
		7611 Little River Turnpike, Suite 600 West
		Annandale, Virginia  22003
		Phone:  703-642-5500		Fax:  703-642-0539

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