Registration information
(please copy the 3 registration items below and paste it into an email to Kimberly Mount with your personal information)

1. Title & Name:
   Address:
   Telephone #:
   Email Address:
   University and Department Affiliation:
   
   
2. I plan to arrive on:
   
   
3. I would like to attend:
   _____the Saturday evening cocktail hour.
   _____the Saturday night Taste of St. Louis Buffet (which will include vegetarian and vegan items) .
   _____I am a vegan
   _____I am a vegetarian
   _____I am omnivorous
   
   

THANK YOU -WE LOOK FORWARD TO SEEING YOU!