MSA Fall Conference 2001
Registration Form

 

Your name:___________________________________________

Institution: ___________________________________________

Preferred Mailing Address:

___________________________________________________

___________________________________________________

___________________________________________________

___________________________________________________

 

Phone number(s):____________________________________

E-mail: _____________________________________________

 

Fees:


Student                                  $20.00

Professional (Faculty, Researcher etc.)  $40.00

Contribution to MSA                      _______

TOTAL ENCLOSED                           _______
(Check or Money Order Only)

(Make check or money order payable to:

Michigan Sociological Association.)

 

Please print this form - one for each person - and mail with your payment to:
Alan Hill, Department of Sociology, Delta College
University Center, MI 48710

 

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