For New Crises, New Agendas Conference
North Kansas City Community Center, April 3-4
Please print this form out, enter the information legibly, and send it, along with payment, to:
PO Box 30127 Plaza Station
Kansas City, MO 64112
City, State, Zip __________________________________________________________________
E-Mail Address ________________________________
Do you require a vegetarian lunch? ________
Enclosed is payment for
Regular Registration, $40 _______ Low Income, $20 _______ Unemployed/Student, $10 ______
Make check/money order payable to KC Labor-Bill Onasch and write “conference” in the memo section.
If you prefer you can send this information by E-Mail to: firstname.lastname@example.org and pay your fee online through the secure PayPal button on the conference registration page.