QUEER TEXAS CONFERENCE REGISTRATION
November 11th and 12th 2011 | University of Texas @ Austin School of Social Work
Registration is a commitment of a $15 payment at the door, which goes towards two meals and a conference t-shirt.
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First Name *
Last Name *
Email Address *
xxxx@xxx.xxx
Phone *
(XXX) XXX - XXXX
Name of your Institution *
school, community organization, etc
Academic Program
Women and gender studies, Chicana/o studies, etc.
Affiliation *
Food Preference *
Submit
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