Bangladesh Workshop

Registration Form

This form will register you for the January, 2005 Bangladesh Workshop. By completing and submitting this form you agree to participate in this workshop under the terms and conditions specified on the workshop information page.

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Please complete each of the following.

Full Name: *(mandatory)

E-mail Address: * (mandatory)

Home Phone:

Work Phone:

I will probably be working mostly in:

To choose more than one, use Ctrl-Click.

My level of experience as a landscape, wildlife or nature photographer is as a:

Choose One

I have attended a photographic field seminar or workshop before:

Please take a moment to tell us any additional information that might be helpful in allowing us to make this workshop the best it can be for you. Please indicate as well if you have any physical infirmity that could affect your ability to participate fully in this workshop.

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35mm Film
35mm Digital
Medium Format
Other (Specify)