1999 IOOB CONFERENCE REGISTRATION
(please print and mail with your check)
must be postmarked no later than February 19, 1999

 

Name (as you want it to appear on your name tag): ____________________________________

University affiliation: ____________________________________________________________

Address: ______________________________________________________________________

______________________________________________________________________________

Phone number: ( ____ ) ________________ e-mail address: _____________________________

Recruitment Breakfast: Attending______ Not Attending ________

Saturday Luncheon: Vegetarian _______ Non-Vegetarian ________

Vegetarian entrée includes fresh vegetable stir fry over couscous, toasted herbed pita wedges, and house salad.
Non-vegetarian entrée consists of chicken florentine with tri-colored rotini, fresh baby carrots, and rolls and butter.

Please return this form along with your check or money order made payable to: GMU/IOOB Conference for $45 to:

IOOB Registration, MSN 3F5
George Mason University
4400 University Drive
Fairfax, VA 22030-4444