Center for Middle Eastern Studies
Rutgers, The State University of New Jersey

Conference/Dinner Registration Form
I will be attending the Conference (Free): Yes No
I will be attending the Dinner/Cultural Event ($50/person): Yes No
I would like to reserve seat(s) tables (8 seats per table)
My meal preference is: Beef Poultry Vegetarian
(please use the comments section if you are choosing meals for more than one person)
Title:*
Institutional Affiliation:
Full Name:*
Street Address:*
Address (continued):
City:*
State:*
Zip:*
Telephone:*
Email:*
I am mailing a check for the amount of for my Dinner reservation.
* Please make checks payable to Rutgers University Foundation and mail to:

Center for Middle Eastern Studies
Lucy Stone Hall, B-316
54 Joyce Kilmer Avenue
Piscataway, NJ 08854

I would like to make my payment by credit card. Please contact me for card information.
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