Reservation Form, October 28, 2004

EXPERIMENT STATION ASSOCIATES

BEHIND THE SCENES FIELD TRIP
Monsanto's Plant Biotechnology Research in Mystic, CT and
the Mohegan Sun Environmental Department Operations in Uncasville, CT

Thursday, October 28, 2004

CHARGE FOR THE FIELD TRIP WILL BE:
$23 PER ESA MEMBER
$33 PER GUEST

MAKE CHECKS PAYABLE TO:
EXPERIMENT STATION ASSOCIATES

PLEASE SEND YOUR CHECK TO:
Experiment Station Associates
Box 3560 Amity Station
New Haven, CT 06525

THIS FORM WITH YOUR CHECK MUST BE RECEIVED
NO LATER THAN WEDNESDAY, OCTOBER 20,  2004

NUMBER OF PERSONS ATTENDING __________

Names and Telephone Numbers of Persons taking the bus

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