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Name : _________________________
Name of school: _________________
School district : __________________
Address of school : _______________
_______________________________
_______________________________
Postal Code : ____________________
Telephone : (h) _________________
(w) __________________
Fax : ___________________
Email : ______________________
Grade level(s) : ___________

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Send by:

Mail :
Research group Littoral et vie
Education Faculty
Université de Moncton
Moncton, NB
E1A 3E9

Fax : (506) 858-4317

Email : langisj@umoncton.ca

Telephone : (506) 858-4405 or 4408

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