***************************************************************** * N A T I O N A L L E S B I A N, G A Y & B I * * * * S T U D E N T N E T W O R K I N G * * * * C O N F E R E N C E * * * * * * GEORGE WASHINGTON UNIVERSITY * * * * APRIL 24, 1993 * * 12:00 noon - 7:00 pm * * * * Sponsored by * * National Lesbian, Gay & Bisexual * * Student Caucus * * and the * * U.S. Student Association * * * * Preregistered: $5.00 * * Saturday: $15.00 * * * * BE THERE! * * * ------------------------------------------------------------------ STUDENT NETWORKING CONFERENCE REGISTRATION FORM Name: _____________________________________________________ School: ___________________________________________________ Address: _________________________________________________ City: ______________________ State: _____ Zip: __________ Phone: ________________________ Email: ____________________ ____ $5.00 Registration Fee Enclosed (payable to NLGBSC) ____ ASL Interpretation Needed ____ I am interested at presenting at one of the workshops ____ Send me information about the Student Lobby Day (April 23) Please preregister to reserve a spot at the conference. Return this application or its equivalent, along with $5.00, to: NLGBSC Attention: Conference 815 15th Street, NW, Suite 838 Washington, DC 20005 For more info, call Paige Gilbert, 202-347-8772, fax 202-393-5886.