MAFS Registration Form

Next Meeting October 11-12, 2010

Capitol Plaza
 

$ 55 First Attendee; $35 Additional Attendees (includes dinner and lunch)

Please choose your institution/group from the list below:

Representing AAUP, Mo. Conf. Advisory Council MNEA Coordinating Board for Higher Education Guest Harris-Stowe State University Lincoln University Missouri Southern State University Missouri State University Missouri University of Science and Technology Missouri Western State University Northwest Missouri State University Southeast Missouri State University Truman State University University of Central Missouri University of Missouri-Columbia University of Missouri-Kansas City University of Missouri-St. Louis

Please let us know who you are:

First Name: Middle:

Last Name:

Address (line 1):

Address (line 2):

City/State: Zip Code:

Email Address:

Area Code: Phone Number:

Please let us know your member status:

Voting Alternate Officer Guest

Your comments (if any):

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