MAPLA
Midwest Association of Pre-Law Advisors

Caravan Registration 2011

MAPLA Caravan 2011

Tuesday, October 25-Friday,October 28, 2011

Institution:
Address Street 1:
Address Street 2:
City:
State:
Zip Code:	(5 digits)
Confirmation Contact First Name:
Confirmation Contact Last Name:
Representative at Caravan First Name:
Representative at Caravan Last Name:
Representative at Caravan Title:
Representative Phone:
Representative Email:
Best Way To Reach Representative After October 10:
Caravan Sites	Please check which Caravan sites your institution will attend (check all that apply).
	Indiana University, Bloomington (Tuesday, October 25)
	University of Iowa, Iowa City (Thursday, October 27)
Comments:	Enter comments here!
Payment Information	After hitting submit you will be taken to the MAPLA Store to submit payment via credit card or to print an invoice to send in with a check made payable to MAPLA. Be sure to select the correct number of Caravan Sites you are interested in attending. *Register and pay by September 26. Registration and payments received after September 26 will incur a $50 late fee.*