Reservations must be made by September 5, 2007. (You can print this form in and send it with money or submit this form online and send payment.)
Student Name: Dragon ID: Family Member Name(s): Address: City: State: Zip: Daytime Telephone:
Please indicate the number attending:
Lunch @ $10 per person: $
Number of MSUM Students (No Charge)
Does student have a Sodexho meal contract? Yes No
Number of Vegetarian meals @ $10 per person: $
Number of Football game tickets (available at Registration)
Total: $
Interested in Session:
MSUM Professors
From Honolulu to NY
Theatre Clips
Payable to:
MSU Moorhead Family Day
Student Support Services Minnesota State University Moorhead
1104 7th Avenue South
Moorhead, MN 56563
Please note: No refunds will be issued after September 5, 2007.
Please contact Veronica Michael with any questions at 218.477.2777