17th Annual SEAYEC Summit College Booth Registration Form
Take Charge! It Begins With You!

Friday, April 13, 2018
University of Wisconsin-Milwaukee
2200 E Kenwood Blvd.
Milwaukee, WI 53211

Registration Fee: $175 ($200 after deadline)
Registration deadline: March 30, 2018

Please make check payable to “Southeast Asian Youth Group” and mail to:

Dao Vang
Southeast Asian-American Student Services
Bolton Hall 160
P.O. Box 413
Milwaukee, WI 53201-0413

To pay with a credit card, SEAYEC has an account set up with the UWM Foundation. Please go to the website link: https://givetouwm.uwmfdn.org/

Complete the information for your organization or you. In the "Gift Information" Section do the following:
1) Add gift amount of $175
2) Direct your gift to the College of Letters & Science
3) In the Special Instructions field add: "Southeast Asian Youth Group Account (37550)"

Add your payment information and complete the rest of the form. When you submit your payment, you will receive an email notification that it went through.

The conference’s fiscal agent is the UW-Milwaukee Foundation and its Tax ID is 23-7337744.

Email address *
College/University/Organization Name *
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College Representative Name(s) *
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Contact Number *
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A copy of your responses will be emailed to the address you provided.
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