Registration Form - NIU Conference for Young Women (#5664)

Four Easy Ways to Register

1. PHONE 1-800-345-9472 (In Illinois) or (815) 753-0277 for immediate reservations using your credit card for payment.
2. FAX to completed reservation form, using your credit card for payment. FAX 815-753-6900.
3. MAIL your completed reservation with your check to: Noncredit Registrar, Continuing Education, NIU, DeKalb, IL 60115.
4. IN PERSON at the LNB Building, 2nd floor, 3rd and Locust St., DeKalb, Illinois.  Hours are 8 a.m. to 4:30 p.m. Monday through Friday.

NIU Conference for Young Women, Friday, October 6, 2000 (#5664)

                                Holmes Student Center, Lincoln Room, DeKalb, Illinois

Registration limited to 30 sophomore, junior or senior female students.

Fee: $33.  Fee includes all presentations, materials, tours and lunch with NIU faculty and staff members.

Questions: Call External Programming, College of Liberal Arts & Sciences, (815) 753-5200.

Name____________________________________________________________________

School/Institution________________________________________________________________

Address__________________________________________________________________
[ ]Home address   [ ]School address

City____________________State________Zip:code(+4)___________________________

Day Phone_______________Evening Phone___________________e-mail_____________

[ ]Enclosed is a check payable to Northern Illinois University.

[ ]Charge fee to: [ ]Discover [ ]MasterCard [ ]VISA [ ]American Express

Card #_________________________________________Exp. date____________

Signature__________________________________________________________

Registrations confirmed upon payment.