Registration Form


Name: ___________________________________________________________

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)677-0959

or just e-mail 2000.core@umich.edu


 

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