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Registration Form


Name (first and last name): 

Email Address: 

Are you a current student? (If yes, answer questions 7 thorough 11)
YES NO

Are you an alumna? (If yes, answer questions 1 through 6)
YES NO

Alumnae

1. Class year:


2. (Cell)phone:


3. Mailing address:


4. Names of those accompanying you to the symposium:

(for nametag purposes only)

5. Will you be staying for lunch? YES NO
*Please note that the cost of lunch is $12.00.
Payment (checks only, please) can be made at the registration desk.

6. OPTIONAL: Please briefly describe a memorable moment related to your study of German at MHC:


Current Students

7. Class year:


8. (Cell)phone:


9. Mailing address (on campus):

10. Will you be staying for lunch? YES NO
*The first 30 students to submit a registration form will receive a free lunch at Willits.
We will notify you by April 2nd if you are one of the "lucky first 30"!

11. OPTIONAL: Please briefly describe a memorable moment related to your study of German at MHC:

Thank you! We look forward to seeing you
at the German Studies Alumnae Symposium!

Page created and maintained by Donna C. Van Handle.   Last modified on March 31, 2008.