2008 Regional Conference Registration Form

NACCS Pacific Northwest Regional Conference
October 25, 2008
Eastern Washington University

Name:                                Phone Number:
Address: Fax (if available):


Institutional Affiliation(if any):

____ Undergraduate Student  ____ Graduate Student
____ Community Member  ____ Professor / Educator / Administrator
____ Other: (specify) ___________________  

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



The National Association for Chicana and Chicano Studies, NACCS and the NACCS logo are registered in the U.S. Pat. & Tm. Office. Use of the name or the logo without permission of the organization can result in legal action.