COURSE APPLICATION FOR:

THE ROBERT F. BORKENSTEIN COURSE ON THE EFFECTS OF DRUGS ON HUMAN PERFORMANCE AND BEHAVIOR
April 11th - 16th, 2010

TUITION:  Tuition is $1200.00. PAYMENT FOR TUITION IS DUE PRIOR TO THE COURSE. Click here for payment information.

Please complete the following application form; we will review it for acceptance and then will notify you soon regarding your application status and payment details.

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Lodging (please check one):		Single ($89 weekday, $109 weekend) Double ($109 weekday, $139 weekend) Queen Double ($119 weekday, $149 weekend) King ($119 weekday, $149 weekend)
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