Application Form for the Basic Linkage Course - New York
         
Please fill out this page and submit by e-mail or FAX.

Your name: _________________________________________________________________

Affiliation: ___________________________________________________________________
 
 
Address:  ____________________________________________________________________
 
____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Tel:_________________________________________________

Fax:_________________________________________________

Email:________________________________________________

Below, please describe your experience with microcomputers and DOS (Which programs used?  Know how to copy files, make directories, etc?)
 
 
 
 
 
 
 

We can make reservations for participants from outside the U.S. and Canada.  Other are expected to make their own housing arrangements. We will send all course participants a list of hotels that have been selected for representing good value at lower cost.
                                                                ___ Yes, I will need a reservation.
 

Signature:_______________________________________________

Date:____________________________________

Katherine Montague
Rockefeller University
1230 York Ave., Box 192
New York NY 10021-6399
Fax (212) 327-7996
Tel (212) 327-7979
Email: montagk@rockvax.rockefeller.edu