Blue Ridge Highlands Regional Science Fair

To Regional Fair Director:

_______________________________________ School would like to affiliate with the Blue Ridge Highlands Regional

Science Fair by holding a local science fair at our school prior to February 11, 2012. Our contact person is

__________________________________________.

Please return by October 22, 2011 to:

Christine Hermann
Box 6949
Chemistry Department
Radford University
Radford, VA  24142

Signed: _______________________________________

Mailing Address:

_____________________________________

_____________________________________

Telephone: __________________________________

Email address:  ______________________________________

Receipt of this affiliation form guarantees exhibit space for your students at the Regional Fair. Late entrants will only be accepted if exhibit space is available.