Eastern Michigan University

MI-ACE Network 2013 Conference

June 3-4, 2013

Kellogg Center in East Lansing

Registration Information

  • Online registration deadline: June 1, 2013
  • Questions about the conference: Michele Rich, mrich1@emich.edu
  • Questions about your registration: Karen Metz, kmetz@emich.edu
  • Your conference registration will be confirmed by email.

Participant Information:

First Name Last Name

Email

Home Address

City   State   Zip

Employer

Job Title

Employer Address

City   State   Zip

Phone Cell Work Phone

Have you attended a previous MI-ACE conference? Yes No

If yes, how many?

How did you learn about the conference? Website Colleague  Email   Other
If Other, please specify:

Are you an Institutional Representative? Yes No

If yes, do you plan on attending the IR Training? Yes No

Parking is free for overnight guests at the Kellogg Center. If you are not staying overnight and need parking validation, check here.

The conference planners are working on a golf outing for Sunday, June 2, 2013. Check here to receive more information.

Please let us know if you have any special needs (e.g. dietary, physical)

Please register me for:

Conference-Graduate Student fee - $120

Conference-Professional Fee - $175

Women of Color Collaborative Workshop - $45

Legislative Dinner - $40

Method of payment:

If paying by credit card, please enter your payment information below.

Check payable to Eastern Michigan University, mailed to Eastern Michigan University, Attn: MI-ACE, 103 Boone Hall, Ypsilanti, MI 48197


Credit Card Information:

Name (exactly as it appears on card)  

Credit Card: MasterCard VISA  Discover  AMEX 

Credit Card Number

Exp. Date

Three-digit Security Code (back of card) or 4 digit code on front of AMEX: