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Please fill out this form and print a copy to mail along with your payment to:
Conference Committee, Graduate Program in Dispute Resolution
100 Morrissey Blvd
UMass Boston, Boston MA 02125-3393
If you have any questions please call 617-287-7421 or email disres@umb.edu
First Name:
Last Name:
Current Address:
Phone:
Email:
Academic Program/Degree:
Student Status :
MA MS PhD JD Undergrad Not a student
Registration Fees:
Student Professional
Skill Building Workshop (October 28th)
Early Registration (on or before 9/30/04 Student $ 35.00 / Professional $50
Late Registration (10/01/04) Student $45.00 / Professional $65.00
Please check one:
Workshops
Group Dynamics
Narrative & Justice
International
Conference October 29th-30th
Early Registration (on or before 9/30/04) Students $90.00 /Professional $120
Late Registration (10/01/04 and after) Students $105/ Professional $130
Accommodation Information:
I would like a vegetarian meals
I will require access information/ assistance for physical disability (please contact me)
I would like further information on the Graduate Program in Dispute Resolution
Please make check or money order payable to UMass Boston
Cancellation Policy: Conference registration fees canceled after 10/01/04 are subject to a $25.00 cancellation fee. Skill Building Workshop fees are not refundable after 10/01/04. Substitutions are allowed