The United Nations at 60 Years A Forum on the Future of the United Nations in the 21st Century
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Registration Form Name:___________________________________________________________________ Address:_________________________________________________________________ _________________________________________________________________ Phone Number:___________________________________________________________ Email Address:___________________________________________________________
* Conference Fees (please check one): _____ Student ($10.00) - paid on or prior to the pre-registration deadline (extended to October 14, 2005). _____ Student ($15.00) - paid after the pre-registration deadline. _____ Non-Student ($20.00) - paid on or prior to the pre-registration deadline. _____ Non-Student ($25.00) - paid after the pre-registration deadline. _____ Breakfast only ($3.00 students; $5.00 non-students) _____ Luncheon only ($10.00 students; $15.00 non-students)
* Conference fees cover attendance at all sessions of the conference, including breakfast and luncheon. Please make checks payable to "UCA Department of Political Science/AMUN". Send registration forms and checks to Dr. Mark Mullenbach, 217 Irby Hall, UCA, Conway, Arkansas 72035.
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