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21st Annual Women and Society Conference Registration

Name:
Affiliation:
Are You Currently An: Undergraduate
Graduate Student
Faculty
Other
Email:
Address:
City, State, Zip:
Food Preference: Vegan
Vegetarian
None
Other

If Presenting

Presentation Title:
Presenting Day Preference:
Special Equipment/Needs:

Registration Fee:

9/15/2012: $140/95
At The Door: $160/130

Please make checks or US funds only money orders payable to Marist College.

Mail To:

Women & Society Conference Fontaine 315,
School of Liberal Arts Marist College,
Poughkeepsie NY 12401

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