Registration – April 13-15, 2012 @ WMU

MOCC Name(required)

Email(required)

School(required) CMU Davenport EMU FSU GVSU MSU Michigan SVSU WMU Baker College of Owosso New School

Number of Advisors Attending(required)

Advisor Email(required)

Advisor Room Type(required) Single Room Double Room

Number of Students Attending (Including MOCC)(required)

Invoice to (Org Name and Address)(required)

Special Accomodations

By submitting this form, you acknowledge that your institution will pay the amount invoiced based on information from this form. All changes must be submitted before April 6th, 2012. After this date, substitutions may be made by contacting the host school.