The Middle Tennessee State University Interdisciplinary Women's Studies Conference on Sexuality

Conference Registration Form

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REGISTRATION FORM

Please mail to

Women's Studies Program

Box 498
Middle Tennessee State University
Murfreesboro, TN    37132

Name: ___________________________________________________________

Institution/Affiliation:  _______________________________________________

Address: _________________________________________________________

Phone: ___________________________________________________________

E-mail: ___________________________________________________________

Please check all that apply:

____      $80 Non-student ($90 on site)

____       $40  Non-MTSU Student/unemployed/underemployed  ($45 on site)

____      MTSU faculty, staff, students (fee waived) 

____      Lunch Thursday ($10.00-vegetarian options available)

____      Lunch Friday  ($10.00-vegetarian options available)

____      Parking permit

____      Handicap parking permit
 

Total submitted:  $______________

Conference participants must submit registration form and fee by January 5, 2009, to retain a place on the program.