Science, Technology, and Law Program

The National Academies

Washington, D.C.

Peer Review of Regulatory Science and Technical Information Workshop

November 18, 2003

The National Academies - Main Auditorium

2101 Constitution Avenue, N.W.

(enter on C St., between 21^st and 22^nd)

Washington, D.C.

REGISTRATION FORM

FAX TO 202-334-2530

By Monday, November 3, 2003.

NAME ______

Please print clearly

TITLE __________________________________________________________________

OFFICE/DEPARTMENT __________________________________________________

MAIN INSTITUTION

ADDRESS ______________________________________________________________

CITY________________________________________STATE________ZIP__________

PHONE_________________________FAX_____________________

EMAIL__________________________________

For additional information contact Stacey Speer at 202-334-1713 or sspeer@nas.edu.