12th Unity Conference

12th Unity Conference, 2007
Nuestra Época: Valuing Latinos in the American Tapestry
April 12-13, 2007

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Registration Form
Minnesota State University Moorhead
April 12 & 13, 2007
Telephone: 218-477-2721 * Fax: 218-477-5050

1.	Name:
	Address:
	City:
	E-mail:
	Telephone:	Home Work
	Telephone number in case of emergency:
	School You Attend/Place of Work:

2.	Individual registration
	Circle one:	Student ($ 25) Non-student ($50)
		T-shirt size S M L XL XXL

3.	Group registration.
	Number in group (8 or more) Student ($20) Non-student ($45)
	Person responsible for the group
		List names and t-shirt size.



4.	Payment by: Check Amount Purchase Order #
	Make checks payable to: MSUM OLA Student Activities
	Mail to:	Abner Arauza MSU Moorhead 1104 7th Avenue South Moorhead, MN 56563
	E-mail arauza@mnstate.edu Fax (218) 477-5050 Telephone: 218-477-2721

	You may register by telephone, fax, or e-mail. Please register by April 6, 2007. You may register the day of the conference. T-shirts available to same-day registrants while supply lasts only.