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MAIL REGISTRATION FORM AND CHECK TO Pam Thomas University of Maryland Extension 18330 Keedysville Road Keedysville MD 21756-1104 Ph 301 432-2767 x315 FAX 301 432-4089 pthomas umd. Edu Name Title Name of County or Municipality you represent Check appropriate County or Municipal Staff Elected or Appointed Official Non-Profit/NGO Private organization University State or federal agency Street Address or P. Do you need a receipt Are you AICP Yes or No Registration fee is 25. 00 per person. Please...
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Information such as description of materials, quantity, destination, approval signatures, and date of shipment must be reported on internal routing form.
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