Registration Deadline October 22, 1999
Please print and mail in this form.
Advanced Registration Required
Fee: $20.00 (includes buffet lunch) Payment must accompany form
Name:___________________________________________
Department:___________________________________________
Mail Code: _____________
Phone:_________________________________
E-mail address: ___________________________________________
Payment Method (check one):
____University voucher ____Check (payable to UIC)
Registration fees are non-refundable after October 22.
There is a $25.00 service fee for all returned checks.
Return Registration Form to:
Office of Women's Affairs
(M/C 363)
802 University Hall
Workshop Choices
Please indicate your first and second choices for each of the concurrent sessions
Morning Concurrent Workshops: 10:00 a.m.-12:00 noon
My first choice:___________________________________________
My second choice:___________________________________________
Afternoon Concurrent Workshops 1:30 p.m.-3:30 p.m.
My first choice:___________________________________________
My Second choice:___________________________________________
Mini Sessions 4:00 p.m.-5:00 p.m.
My First Choice:___________________________________________
My Second Choice:___________________________________________
If you have a disability and need an accommodation in order to participate
in this event, please call 312.413.1025 at least one week prior to the event.
For more information call 413.1025