2008 Regional Conference Registration Form
NACCS Pacific Northwest Regional Conference
October 25, 2008
Eastern Washington University
| Name: |
Phone Number: |
| Address: |
Fax (if available):
Email:
Institutional Affiliation(if any):
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| ____ Undergraduate Student |
____ Graduate Student |
| ____ Community Member |
____ Professor / Educator / Administrator |
| ____ Other: (specify) ___________________ |
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Registration is free and open, however we ask that you consider contributing to the Pacific Northwest Foco Fund (currently managed at Washington State University). Contributions to the fund will help us organize Foco events in our region, at the NACCS national meeting, and to establish a fellowship fund to help students in our area to travel to the national meeting. Please make all checks or money orders payable to NACCS and indicate in the memo line “donation to Pacific Northwest Foco Fund.” Mail all contributions to the registration address below.
This is a suggested sliding scale please feel free to contribute as much as you can:
______ Undergraduate Student Contribution $5.00
______ Graduate Student and Community Member Contribution $10.00
______ Professor / Educator / Administrator Contribution $20.00
Please send your completed registration and any donations postmarked by October 6th to:
Dr. Gilberto Garcia
Department of Political Science
400 E. University Way
Wllensbury, WA 98926-7578
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