REGISTRATION FORM

33rd Annual
Michigan Conference of Political Scientists

Aquinas College
October 18-19, 2001

Name: _____________________________________________________________________

Address: ___________________________________________________________________

Institution: __________________________________________________________________

Phone / Email: _______________________________________________________________

Paper Topic: (if presenting) _____________________________________________________

CHOOSE ONE:

A. Thursday Reception and Dinner,
     Friday Continental Breakfast and Lunch:
          $36 Regular ________
          $25 Student ________
B. Thursday Only, Reception and Dinner,
          $25 Regular ________
          $15 Student ________
C. Friday Only, Continental Breakfast and Lunch
          $18 Regular ________
          $13 Student ________
D. Attending Panels, no Lunch or Dinner
          $10 ________
         

Make Checks Payable to: Aquinas College

Return Form To: Roger Durham, Ph.D.
Political Science Department
Aquinas College
1607 Robinson Road SE
Grand Rapids, MI  49506-1799

Any Questions: (616) 459-8281, x-4461    or    durharog@aquinas.edu