REGISTRATION FORM

               MIDWEST CONFERENCE ON ASIAN AFFAIRS

                                         MINNEAPOLIS, MINNESOTA, 0CT 1-3, 2004 

*****NOTE: All registration fees include annual MCAA Membership dues. 

REGISTRATION FEE: (check which applies)

REGULAR, PRE-CONFERENCE REGISTRATION    ______($55.00)

                                                                                         (Includes $15 MCAA dues)

REGULAR, ON-SITE REGISTRATION                       ______($65.00)

                                                      (Includes $15 MCAA dues)

STUDENT PRE-CONFERENCE REGISTRATION     ______($30.00)

                                                         (Includes $10 MCAA dues)

STUDENT, ON-SITE REGISTRATION                       ______($35.00)

                                                        (Includes $10 MCAA dues)

CHECK PREPAID MEALS:

PRESIDENTIAL PANEL LUNCHEON (SATURDAY)              ______$15.00   

MCAA BANQUET (SATURDAY)                                               ______$28.00  

PAST PRESIDENTS BRUNCH (SUNDAY)                                ______$15.00

TOTAL ENCLOSED (Checks payable: MCAA)                          _____________

NAME________________________________________________________________________

INSTITUTION__________________________________________________________________

ADDRESS_____________________________________________________________________

CITY_______________________________________STATE____________ZIP_____________

PHONE__________________________  FAX___________________

E-MAIL__________________________________________________

AREA OF INTEREST____China/Inner Asia     ______Northeast Asia          _____South Asia

______Southeast Asia      _____All of Asia    Other (specify)______________________________

DISCIPLINE: (e.g. History, Language, etc.)___________________________________________

Signature of Advisor if Student Registration_____________________________DATE__________

Mail to:           MCAA  C/O  Ramona French

Department of Asian Languages and Literatures

453 Folwell Hall

University of Minnesota

Minneapolis, MN 55455