Conference Registration

You may submit this form by e-mail or fill out the mail-in version and send it to the MTSU Cultural Diversity Conference as indicated on that form. "Early bird" conference fees of $340.00 ($200.00 for students) may be paid with a Visa or Mastercard on-line by completing that section of this form below or by mailing a check to:

Cultural Diversity Conference Registration
Box 139, MTSU
Murfreesboro, TN 37132

Please make out the check to "MTSU Cultural Diversity Conference"

Conference Registration

Name:

Address:

City, State, and Zipcode:

Telephone Number: E-mail (optional):

On-Line Conference Fee Payment

On-line payment of the "early bird" conference fee of $340.00 (including 2 breakfasts and 2 lunches) will be available soon. This fee is available to anyone who registers and makes payment before August 1, 2003.
After August 1, the registration fee will be $390.00.

On-line payment for students will also be available soon. The "early bird" fee for students is $200.00.
After August 1, 2003, the student registration fee will be $340.00.

Any fees may be paid by check as described above.

You will receive a confimation that your e-mail registration is complete after submitting this form.