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INFORMATICS RESEARCH INSTITUTE | |
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OUR GOLDEN ANNIVERSARY
Name: __________________________________ Preferred Name on badge: ____________________ Address: __________________________________ City: ________________________State: _____ Zip: _________ Phone: _________________________ Fax: _____________ Email: _____________________________________ School/Employer: ______________________________________ REGISTRATION FEES: select one [ ] $225 – Registration through September 15, 2008 [ ] $275 – Registration after September 15, 2008 [ ] $100 – Student Registration [ ] $100 – Guest Registration (meals & entertainment)
Guest’s Name for badge => _______________________________ $ _______ Total enclosed (make check payable to MPMC 2008) "--------------------------------------------------------------------------- The conference is held at the Rendezvous Center. Lunch and breaks are at the CyberCafe via a food card in your packet. Sample menus: http://www.dineoncampus.com/isu/?cmd=Menus You may style your snacks and lunches to meet your dietary needs.
Please return this completed form and registration fees to: Mr. Greg Ray Informatics Research Institute Idaho State University Campus Box 8020 Pocatello, Idaho 83209 208 282 6054 |
Send mail to
Webmaster@niatec.isu.edu with questions or comments about this web site.
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