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Attendance Registration Form

Please enter all information in the boxes below.

First and Last name:
E-mail address 1:
E-Mail address 2:
Phone number:
Mailing Address:

City, State  Zip:

School/Department

Please select the following special sessions you plan to attend:

 

 

 

 
 

  Keynote Speaker, approx. 2p-2:40p

 

 Conference Luncheon (limited seating), approx. 12:00p-1:45p

 

 Conference Reception and Celebration, 5p-7p

 
 

Are you interested in volunteering on Friday, March 7th?


Any questions, comments, or concerns?


   
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  Contact Us
 

Minority Mentor Program
160 E. Tenth Street
Claremont, CA 91711
909-607-7433
fax: 909-607-7285
email:
mmp_conference@cgu.edu

   
© 2008 Claremont Graduate University • Contact Information • 150 E. 10th St, Claremont, California 91711