Form

The Changing Role of the University in the 21st Century
Thursday, December 6, 2012, from 6:30 to 9:00 p.m. at the German House ( 871 UN Plaza, First Avenue at 49th Street ). Please bring a photo ID with you to this event.
Salutation
First Name*
Last Name*
Company / Affiliation*
Job Title*
Department
Address 1*
Address 2
City*
State*
Zip Code*
E-mail*
Phone*
Website
Please indicate your expectations for the event, including any questions you would like addressed by our speakers.
Please indicate any dietary restrictions.
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The Changing Role of the University in the 21st Century