Special Accommodation Request

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Please complete this form to apply for an honorarium to attend Sharing Solutions: Gold, the Amazon and the Climate Crisis hosted by the Center for Energy, Environment & Sustainability (CEES) and the Amazon Aid Foundation at Wake Forest University. Feb. 14-16, 2023

First Name *

Last Name *

Organization *

Email *

Phone *

Please list your estimated costs for transportation and lodging. *

Available funding for honoraria is limited. Please indicate the percentage of your costs for which you need support. (Transportation and lodging) *

25%

50%

100%

Is there anything you'd like to share that we didn't ask?

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This form was created inside of Christina T. Miller sustainable jewelry consulting. Report Abuse

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