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Registration of Interest Form
Your details
Title (Optional)
Surname
Given name/s
Email address
Please provide the best email and postal addresses for easy contact
Street address
Suburb/town
State
Postcode/Zip
Country
Telephone
(please include international and area codes)
Please provide the most appropriate daytime telephone and fax numbers
Fax
(please include international and area codes)
Registration of Interest details
Institution where you work (or study)
Institutional web site (if appropriate)
Your area of involvement in marine ed
eg. teacher, aquarium, lecturer, government - please include a very brief list of responsibilities
Marine and environmental ed memberships
Briefly list your key marine and environmental education association memberships
Your support for OOMF
Capacity to communicate in your nation
Briefly list the ways you would communicate OOMF 2005 outcomes in your nation
Capacity to act in your nation
Briefly list the ways you could act upon OOMF 2005 outcomes in your nation and internationally
Comments (optional)
 
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