Breaking Barriers, Building Democracy: A Call to Establish Political Inclusion and Equality

Saturday, Jan. 26, 2002
The Millennium Hotel
1313 Nicollet Mall
Downtown Minneapolis

Printable Registration Form
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Online Registration

 

Name ________________________________________

Organization/Affiliation___________________________

Title _________________________________________

Address ______________________________________

_____________________________________________

City ___________________State ______ Zip ________

Daytime Telephone (___)_________________________

Those for whom the conference registration cost poses a participation barrier should contact:
Eric Stiens, phone: (612) 624-2904,
Fax: (612) 624-8890, stien002@umn.edu
E-mail: ____________________

Cost: $45 per person - $10 students

Credit card type _________________

Number _______________________

Exp. ___________

Signature ______________________

____ Payment enclosed
Make check payable to the UNIVERSITY OF MINNESOTA
and send to:

University of Minnesota
PO Box 64780
St. Paul, MN 55164-0780