Name
Address
City

Email

Telephone:  Home  Work
Telephone number in case of emergency
School you attend or place of work

Individual registration only.
Pick one:

Student ($25)
Non-Student ($50)

T-shirt Size
S   M   L   XL   XXL

For group registration only.
Number in group (10 or more) Student ($20), Non-Student ($45)
Person responsible for the group
List names and t-shirt size

Method of payment

Check
Purchase Order #

Make checks payable to:
MSUM OLA Activities

Mail to:
Unity Conference
MSUM Moorhead
1104 7th Avenue South
Moorhead, MN 56563

Email: arauza@mnstate.edu
Telephone: 218.477.2721
Fax: 218.477.5050
Website: www.mnstate.edu/cultural

You may register online or by email, telephone, or fax.  Please register by April 11,2008.  You may register the day of the conference.  T-shirts available to same-day registrant while supply lasts only.