School of The Coast and Environment
Registration Information
Ticket Number:4686
10/06/2017

Please complete this form. For additional information concerning equipment and services, contact the Field Support Shop at 578-6076.

Trip Leader First Name:Wokil
Trip Leader Last Name:Bam
Phone Number:5073045283
Email Address:wbam1@lsu.edu
Destination:LUMCON
Registration Date:10/11/2017 08:00:00 AM
Return Date:10/11/2017 08:00:00 PM
Boat:Choose from the list
Towing Vehicle:2001 Ford Pickup / open bed
Utility:Not Selected





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