Registration Form
School/Affiliation: __________________________________________________
Address: _________________________________________________________
Phone: ___________________________________________________________
E-mail: __________________________________________________________
Dietary exceptions/Disabilities: _____________________________________
________________________________________________________________
Student host needed? { } Check this box.
Amount enclosed:______________________
Groups larger than 15 can qualify for a group discount of 10%. Just mail them together.
Please make checks payable to:
ADC
628 Packard Apt # 3
Ann Arbor MI, 48104
Deadline for pre-registration: Mail must be postmarked by January 8th 1999.
Fees:
Students
Registration $20
Pre-registration $10
Non-Students
Registration $25
Pre-registration $15
For more information, contact:
Robert Zaid Norah Rabiah
(734)213-3895 (734)677-0959or just e-mail 2000.core@umich.edu