
<p> 29th Arabic Linguistics Symposium April 9-11, 2015 at the University of Wisconsin-Milwaukee</p><p>Family Name: ______First Name: ______</p><p>Title: ______Institution: ______</p><p>Street Address: ______</p><p>City/State/Zip Code: ______Country: ______</p><p>Email Address: ______Daytime Phone: ______</p><p>Pre-registration (deadline March 1, 2015) $40 for students and $70 for non-students After March 3, 2015 $50 for students and $80 for non-students</p><p>Amount Enclosed for Registration: ______</p><p>Form of Payment: __ Master Card __ VISA __ American Express __ Check __ International Money Order</p><p>Credit Card Number: ______- ______- ______- ______</p><p>Expiration Date: __ __ / __ __ (Month/Year)</p><p>______Print Cardholder’s Name Cardholder’s Signature</p><p>All checks or international money orders for REGISTRATION should be made payable to the University of Wisconsin-Milwaukee (UWM).</p><p>Mail to: Hamid Ouali University of Wisconsin-Milwaukee PO Box 413 Milwaukee, WI 53201, USA </p><p>ALS membership dues must be paid here: https://sites.google.com/site/alsmembershipdues/</p>
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