REGISTRATION FORM

34th Annual
Michigan Conference of Political Scientists

Lansing Community College
October 17-18, 2002

Name: _____________________________________________________________________

Address: ___________________________________________________________________

Institution: __________________________________________________________________

Phone / Email: _______________________________________________________________

Fax: ______________________________________________________________________

Paper Topic: (if presenting) _____________________________________________________

CHOOSE ONE:

A. Thursday Reception and Dinner, Friday Lunch and Breakfast Buffet:
           $40 Regular ________
           $30 Student ________
B. Thursday Only, Reception and Dinner Included:
          $25 Regular ________
          $15 Student ________
C. Friday Only, Breakfast Buffet and Lunch Included:
          $15 Regular ________
          $1o Student ________

Make checks Payable to: Lansing Community College
Return Form To (or for more information): 
Dina M. Krois, Ph.D.
Lansing Community College
5500-Social Science
P.O. Box 40010
Lansing, MI  48901-7210

Any Questions: (517) 483-1146    or    dkrois@lcc.edu