MSA Fall
Conference 2003
Registration Form
Your name:__________________________________________
Institution: __________________________________________
Preferred Mailing Address:
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Phone number(s):____________________________________
E-mail: _____________________________________________
Fees:
Student $24.00 Professional (Faculty, Researcher etc.) $48.00 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
Return to 2003 Conference Page