Registration / Information Form
(When complete, FAX FORM TO (718) 409-7483)
REGISTRATION DEADLINE - TUESDAY, MARCH 5th, 2002
ORGANIZATION:
________________________________________________________________________
(Name)
________________________________________________________________________
(Street Address)
________________________________________________________________________
(City, State, Zip)
________________________________________________________________________
(Phone #) (Fax #)
Please indicate whether or not your organization will interview students on
Wednesday, March 13th, 2002: Yes_____ No_____
Table Choice: (Please list table number) see table chart:
1st choice: __________ 2nd Choice:__________
3rd Choice:___________
REPRESENTATIVE(S) ATTENDING:
________________________________________________________________________
(Name & Title)
________________________________________________________________________
(Name & Title)
Registration Fee: $120.00
Total Amount Enclosed: ________
Please make check payable to "New York Maritime College Placement Account".
Thank You.
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