Bloomington acct

Submitted by kdorfman on Thu, 01/12/2012 - 16:17

Apparently lost account info from 12/30/11. Re-entered 1/12/12

Your Message Has Been Sent Below is what you submitted on Thursday, January 12, 2012 at 10:54:27

Purpose: Teaching

Organization Type: Higher Education Teaching

Organization Name: University of Massachusetts, Amherst


Account Type: APSingle

Honorific: Dr.

Account Holder First Name: Katherine

Account Holder Last Name: Dorfman

Mailing Address for Shipments: Katherine Dorfman 661 N Pleasant St ISB 241C University of Massachusetts Amherst, MA 01003

Import Permit: No