2010 Meeting of the Minds Registration

2010 Meeting of the Minds Registration
Deadline: March 26, 2010. Registration rates double after this date.

Name:

Institution/Agency:

Title:

E-mail:

Phone Number:

Mailing Address:

Please select one of the following:

Will you be attending dinner on Thursday night?

Yes

No

Will you be attending the awards luncheon on Saturday?

Yes

No

Is your institution an affiliate of The BACCHUS Network?

Yes

No

I don't know

Pre-Conference Workshops
All workshops begin at 2:00 pm on April 8

Please indicate which workshop you are registering for. Remember to register early to secure your spot in the pre-conference workshops.

Designing Effective Prevention Programs for the Fraternity and Sorority Community. Presenter: Alan Berkowitz, PhD

Taking Tobacco Out of Higher Education. Presenter: Kim Homer Vagadori

Violent Intruder Defensive Strategies ( An A.L.I.C.E overview). Presenters: Sergeant Kim Vansell, Detective Sergeant Kenny Mayberry, Sergeant Letha Young

Creating Your Community: A Student ONLY Pre-Conference. Presenter: Jay Zarr

Emerging Legal Trends and Hot Topics in Higher Education. Presenter: Professor Peter Lake

I am not attending a pre-conference

Fees
Students: $80 | Graduate Students: $120 | Professionals: $160 | Pre-Conferences: $25
Total will appear on next page.

Student - $80

Graduate Student - $120

Professional - $160

Please select the following in addition to your regular fee if you have signed up for a pre-conference session:

Pre-Conference - $25

Please note: Refunds are not available for cancellation after March 26. Substitutions are allowed. After March 26, all conference fees will double.

Payment Method
Please choose one of the following:

If PIP Funds or University of Missouri mocode are selected, please fill in the appropriate information below.

PIP Funds. Please enter campus.

University of Missouri mocode / ps account

Checks can be made out to: University of Missouri. University of Missouri system campuses may pay using a mocode and ps account. Please contact Billy Jamison at jamisonb@missouri.edu for more information.

Sorry, we cannot accept credit cards.

Any accessibility requests for persons with disabilities or special dietary needs should accompany this form. Please provide all meal requests before March 26, 2010 to ensure accommodation. Personal hotel room accommodation requests should be made directly with the Kansas City Airport Marriott when the reservations are made.

Special requests or comments:

The next page will display your total cost. Please print the next page as a receipt.


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