Registration Form 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:

KC Labor
PO Box 30127 Plaza Station
Kansas City, MO 64112

Name _________________________________________________________________________

Address _______________________________________________________________________

City, State, Zip __________________________________________________________________

Telephone _________________________

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: webmaster@kclabor.org and pay your fee online through the secure PayPal button on the conference registration page.

Thank you!