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MSU Extension - Community Development
Montana State University
P.O. Box 172240
Bozeman, MT 59717-2240

Community Development Specialist:
Paul Lachapelle
Tel: (406) 994-3620
Fax: (406) 994-1905
Loc: Wilson Hall 1-156
commdev@montana.edu
Rural Community Conference - MSU Extension and Horizons - May 12-13, 2009 in Bozeman

Sponsored by Montana State University Extension, Horizons, in collaboration with Hopa Mountain, and Montana State University Office of Rural Health / Area Health Education Center, College of Letters & Science, & Department of Political Science. Additional support is provided by Montana Community Foundation, Community GATE, Montana Food System Council, Triangle Communications, 3 Rivers Communications, & Rural Dynamics Inc.

2009 Registration Form

TO REGISTER:

Online: Please fill out the form below
- OR -
By Mail: Download the registration form here and mail to:

Montana Horizons
Rural Community Conference Registration
PO Box 170525
Bozeman, MT 59717‐0525

Name (First Last) *Required.
Organization *Required.
Title *Required.
Address *Required.
City: *Required. State: *Required. Zip: *Required.*RequiredInvalid format.
Phone: *Required. Fax:
Email: *Required.Invalid format.

Registration Fees:

$95 if postmarked by April 15, 2009
$125 if postmarked after April 15, 2009 or on‐site

If registration is a barrier, we have limited scholarships available. Contact commdev@montana.edu for more information.

Method of Payment:

If you register online, payment must be received within 7 business days. Please make checks payable to Montana State University and mail to:

Montana Horizons
Rural Community Conference Registration
PO Box 170525
Bozeman, MT 59717‐0525

No Credit Cards will be accepted.

If you have special dietary needs:
If you request ADA accessible accommodations:
Please indicate which of the following you PLAN TO ATTEND (the cost of meals is included in the registration fee):
May 12th Lunch (prior to Opening Session)
May 12th Buffet Dinner
May 13th Working Lunch with Issue-Based Roundtable Discussions
Promote your community or services at the Rural Community Conference Share Fair/Display.
Yes, I/we would like to reserve a space at the Share Fair.
If yes, please indicate the type of space you require:
1/2 table (4 feet)
Full table (8 feet)
View Text-only Version Text-only Updated: 3/24/09
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