Toxicology Excellence for Risk Assessment (TERA)

2300 Montana Avenue, Suite 409, Cincinnati OH 45211
Phone: 513-542-7475
Fax: 513-542-7487

Email: TERA@TERA.org

VCCEP Peer Consultation for Xylenes

Meeting Registration

Registration Deadline: December 1, 2005
Comment Submission: December 1, 2005

Location: NKU METS Center
Erlanger , Kentucky

Dates & Times:
December 13-14, 2005

*Salutation:

*Name:

Title:

Organization:

*Address:

*City: *State: *Zip Code:

*Telephone: Fax:

*E-Mail Address:

Any additional questions:

Check the appropriate box(es).
Meeting Attendance:

On-Site
via Webcast
Not attending, only submitting comments

Submission of Comments:

Written only
Written and oral
Not submitting any comments

*Denotes Required Field

Prior to the meeting you may submit written technical comments regarding the document under review. Please identify which charge question your comments is in reference to and send these comments to Ms. Patricia Nance at nance@tera.org.

You should receive a registration confirmation within two days, if you do not please contact, Ms. Patricia Nance at 513-542-7475 x25 or nance@tera.org. If you have any problems submitting this form via the Internet, you can download the Word file or pdf file and return the form by e-mail, mail or fax to:

TERA
Attn: n-Alkanes VCCEP Peer Consultation
2300 Montana Avenue, Suite 409
Cincinnati, OH 45211

OR

E-mail: nance@tera.org

OR

Fax to: 513-542-7487