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Registrations must be sent by mail, only. Please do not fax or Email registrations.

Registrations must be received by noon, Monday November 4, 1996.

Total registration is limited to 120 persons.

Registration is on a first-come, first served basis.

All registrations must be accompanied by a non-refundable deposit of $40.00. Full payment must be made by November 8. Payment of balance due will be accepted during the check-in period on the morning of the conference.

All registrations must be accompanied with a completed registration form.

We will accept checks or money orders for payment. We are not equipped to process credit card transactions.

The conference fee includes:

The conference fee does not include:

The conference fee is $75.00. This covers the complete conference. It will not be prorated for persons who do not plan to attend both days.

How to Register

  1. Complete the following registration form
  2. Enclose a check or money order (minimum $40.00 deposit)
    payable to Center for Study
  3. Send your completed form and payment to:
    Center for Study
    245 West 4th Avenue
    Roselle, New Jersey 07203


           C O N F E R E N C E      R E G I S T R  A T I O N     F O R M


Please answer the following questions:

Your Name ____________________________________________

Your name as you would

like it on your name tag

(if different from above).  __________________________________

Mailing Address _________________________________________


Phone Number __________________________________________

Affiliation, organization ____________________________________

Do you have any special needs (such as limited mobility) that we

should consider? Please note the conference facility is fully wheelchair



Do you want to reserve an overnight bunk? (These are presentable, but 

somewhat public, accomodations at the conference site.  See description 

under the Conference Information - Travel, lodging and meals section. 

There are 80 beds available on a first come, first served basis)

Thursday night ( ) Yes ( ) No Friday night ( ) Yes ( ) No
If yes, please indicate the sleeping area you would prefer.
( ) women only ( ) men only ( ) co-ed
OPTIONAL INFORMATION The following questions are optional. We ask them to help monitor our success in recruiting a multicultural and multidisciplinary group of conference attendees. Each question is open-ended. Please answer as you feel most appropriate. Current type of professional involvement and/or interest, e.g. sociologist, diversity consultant _______________________________________________________________ _______________________________________________________________ Age ___________________________________________________________ Race __________________________________________________________ Ethnicity _______________________________________________________ Gender _________________________________________________________ Social class _____________________________________________________ What are your expectations for the conference, and what will it take to make the conference a worthwhile experience for you? _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ ============================================================================
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