   |
|
|
2012 CERTIFICATION AND ENTRY FORM (Must be mailed with pictures and drawings) College or University: ________________________________________________________ Student Chapter(s) Name: ________________________________________________________ Student Chapter Address(Must be accurate and complete - awards to be mailed here!) : ________________________________________________________ ________________________________________________________ Phone __________ Fax _________ E-Mail _____________________ Faculty Advisor: ________________________________________________________ Person in Charge of Project (Contact): ________________________________________________________ Faculty Advisor Certification : ________________________________________________________ DEADLINE FOR SUBMITTAL is April 13, 2012 MAIL TO :Southwest MS RC&D, Inc. P. O. Box 3670 Brookhaven, MS 39603 All materials received by the sponsoring organization will be the property of
the organization! |
Report errors to: Keith Mazer.