(Print, fill-out & mail)

Registration Form

The Red River Valley History Conference

Name: ______________________________________________________________________________________

Address: ____________________________________________________________________________________

Email: _____________________________________________________________________________________

Institutional Affiliation: _______________________________________________________________________

Current Status: High School : Freshman __ Sophomore __ Junior __ Senior __

College/University : Freshman __ Sophomore __ Junior __ Senior __ Graduate __

Early Registration (received by February 6, 2009) $10 ________________________

Registration (received after February 6, 2009) $15 ________________________

Conference Lunch $8 ________________________

Check One* :

• Cranberry Turkey Sprout Sandwich served on Ciabatta
• Prime Rib Sandwich served on German Rye Beer Bread
• Vegetarian Greek Sandwich served on Kalamata Olive Levain
  *All options include: water, coffee, kettle chips, fruit and tiramisu for dessert.

Total Amount Enclosed: $ ____________

Checks are the preferred method of payment and may be written out to UND,
with Phi Alpha Theta written in the memo line.
Please return this completed form along with your payment to:

Anna Peterson, Red River Valley History Conference
Department of History, UND
276 Centennial Dr. Stop 8096
Grand Forks, ND 58202