Medieval Association of the Pacific
2009 Conference Registration Form

March 6-7, 2009
University of New Mexico

Please fill out a separate registration form for each participant

First Name:
 Last Name:
 

Your name, as you wish it to appear on your badge:

Note: Use the following codes for accents:
   á = á   é = é
   à = à   è = è
 
Affiliation:
 Status:
 
Address:
 
E-mail:      Telephone:     Fax: 

The opening reception on Thursday, March 5 will take place at 5:30 at the St. Clair Winery and Bistro. The reception is complimentary, but please click the box if you are attending so that we know how many appetizers to order.