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The Geography of the Erie Canal Workshop

Registration Form (Deadline March 18, 2009)

Name ________________________________________________

School _______________________________________________

Mailing Address ________________________________________

City _________________  State __________ Zip Code_________

Phone (____)- ______ - _________

Email ________________________________________________

Grade/ Subject Taught __________________________________

Will you be requesting inservice credit for this workshop? _______

To receive the $50 stipend you must complete and submit a lesson using materials from the workshop. Is this agreeable to you? ______

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