2009 Conference Registration
Registration Form
Participant Information:
Name: __________________________________
Institution: __________________________
Address: _____________________________________________________________________
City: ___________________________________ State: __________
ZIP: ________________
Email: _______________________________________________________
Daytime Phone: _______________________________________________
Registration Fees:
_____ $80 Full Registration
_____ $60 Graduate Student Registration
_____ $22 Optional Luncheon (Saturday), including entrée, salad, vegetable, rolls, and dessert.
Please choose one entrée below.
_____ Pepper-rubbed Chicken in roasted onion marinara on flat pasta
_____ Applewood Smoked Brisket with sweet potato barbeque sauce
_____ Vegetarian: Portobella Filet with Argula and Manchego hash
$__________ Total Payment
Please mail your registration form and checks made out to the MWCBS to:
Professor Eric G. Tenbus
Department of History and Anthropology
Secretary/Treasurer MWCBS
Wood Hall 136H
Warrensburg, MO 64093
660-543-8707