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Shout Out Form for MAFA 2000 Conference Program

If you would like a shout out in the MAFA 2000 Conference Program, please fill out and submit this form.

The cost of 1 shout out is $3 and for 2 is $5.
Note: Each shout out is limited to the fields given.


Last Name:


First Name:


Enter your e-mail address:(required)

Send me a copy of this message

1. Shout Outs:
Line 1:
Line 2:


2. Shout Outs:
Line 1:
Line 2:


You will get confirmation that your shout-out will be put in the program only after receiving payment!

Make check(s) payable to:
**Checks and money order ONLY please.**
MAFA Conference
Attn: Khoa Nguyen
Office Of Academic Multicultural Initiatives
515 E. Jefferson St.
3009 SAB
Ann Arbor, MI 48109-1316