2017 EcoJustice and Activism Conference Registration Form
Background Information
Name
Your answer
Address
Your answer
Email
Your answer
Phone
Your answer
Are you presenting or attending?
Do you need a ride from DTW airport?
Are you looking to stay with a host family? (First come first serve)
Are you interested in lunch (soup, bread and salad)?
Do you have special dietary needs? Vegan, Vegetarian, Gluten Free?
Your answer
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