Project/Application Showcase Registration Form

Seven Hills Regional User Group for GIS Second Annual GIS Workshop
"Expanding our Boundaries"

Project Showcase Mail-In Submission Form
Submission Deadline: * Extended* September 15, 2003 * Extended*

Instructions:
Please type-in and print out this form to mail to the address below.

Name:
Title:
Organization:
Address:
Telephone:
E-Mail:
Forum:	PROJECT SHOWCASE
Title of Demonstration:
Description of Demonstration: (maximum of 150 words)
Do you need a computer and monitor?	YES NO

Please print out your completed form and mail to:
SHRUG Project Showcase. Attn: Calvin DeSouza; Department of Health Division of Environmental Health Bin # A08 4052 Bald Cypress Way Tallahassee, FL 32399-1742