Registration
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:
- access to all conference activities and program materials
- overnight "no frills" lodging on Thursday and Friday nights for up to 80 participants
- free parking for the length of the conference
The conference fee does not include:
- meals
- lodging, other than the "no frills" option mentioned above
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
- Complete the following registration form
- Enclose a check or money order (minimum $40.00 deposit)
payable to Center for Study
- Send your completed form and payment to:
Center for Study
245 West 4th Avenue
Roselle, New Jersey 07203
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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
REQUIRED INFORMATION:
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
accessible.
_______________________________________________________________
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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