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PAC: Registration Form

Yannick Laclau ycl9649 at spectre.prin.edu
Thu Feb 9 03:20:32 EST 1995


The Principia College School of Government presents the 46th Annual
		    Public Affairs Conference:

Critical Connections: Global Population, Women, and the Environment

Registration Form

Please complete this form for each person attending the conference
(feel free to photocopy if needed).  All forms must be received no later
than March 3, 1995  by fax or mail.

Student Delegate	   ·	Please check the appropriate box.
Faculty observer     ·

____________________________________________________________________________________
First Name	M.I. 	Last Name	Sex	Telephone Number

_________________________________________________________________________
Street Address			City		State		Zip

_________________________________________________________________________
University or College


Faculty Sponsor (if applicable)

_________________________________________________________________________
Full Name of Faculty Sponsor			Work Phone

_________________________________________________________________________
Street Address			City		State		Zip

Registration Fee:  $35*
Please include payment with registration form.  Fee includes: 
2 continental breakfasts, cafeteria lunch, banquet dinner, closing
luncheon, materials, and conference guide.
*The fee is waived for faculty members attending with 3 or more 
paying students.

Vegetarian Meal:    Yes___	No___ (Please check your preference)


Accommodations:

Free Transportation Needed from St. Louis Lambert Airport?  Yes___  No___

Flight Information:__________________________________
(or call when obtained)

____ On Campus:        Guests staying on campus will be in Gehner House
			(Guest dormitory)
		____Single	$20 per night
		____Double	$12.50 per night per person
		____Triple	$8.00 per night per person

____Off Campus:        Guests staying off campus will be responsible for
			their own accommodations.
		        Please indicate where you will be staying below:

___Corner Nest		(Elsah; 5 min.)			618-374-1892
___Frontier Lodge	(Jerseyville; 20 min.)		618-498-6886
___Green Tree Inn	(Elsah; 5 min.)			618-374-2821
___Holiday Inn		(Alton; 25 min.)		618-462-1220
___Maple Leaf Cottages	(Elsah; 5 min.)			618-374-1684
___Pere Marquette	(Grafton; 20 min.)		618-786-2331
___Ramada Inn		(Alton; 20 min.)		618-463-0800
___Super 8 Motel	(Alton; 25 min.)		618-465-8885
___Other: _____________________________________________________

		Public Affairs Conference
		Principia College
		Elsah, IL  62028 · 
		Voice: 618-374-4938 or 4048
		Fax:   618-374-5122
		e-mail: ycl9649 at prin.edu



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