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* Name

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* Preferred Pronouns

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* Title

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* Institutional Affiliation

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* Mailing Address

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* E-mail Address

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* Receptions and meals that you plan to attend

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* Do you have any dietary restrictions that we need to accommodate?

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* Please provide us with the information we need to make the accommodation.

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* Status

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* Do you need an invoice in order to provide us with payment?

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* Please send your check to Sara Grove, Department of Political Science, Shippensburg University, 1871 Old Main Drive, Shippensburg, PA  17257.  

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