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Field Trip Payment Form

NATIONAL EARTH SCIENCE TEACHERS ASSOCIATION
FIELD TRIP REGISTRATION FORM

Pudding Stone, Woods Hole, Seafood, Glacial Geology, and Plymouth Harbor.

WEDNESDAY, MARCH 26, 2008

Departs WESTIN BOSTON WATERFRONT HOTEL
425 Summer St.
8:00 a.m. - 5:30 p.m.

DEADLINE: March 15, 2008

First Name:
Last Name:
Phone:	--
Address:
Address line 2:
City:
State:	Zip:
Email (required):

COST: $50

Fee includes transportation only; you will be responsible for your own lunch

This button will take you to Paypal website, where you will be able to pay with your credit card or using your Paypal account. You do not need to have or create a Paypal account for credit card payment. Please be assured that neither Paypal nor our site will store your credit card number.

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