Northern Great Plains History Conference

Registration Form
47 th Annual Northern Great Plains History Conference
September 26-29, 2012
Fargo, North Dakota
Enclose check payable to NGPHC and send with this form (or photocopy) to:
NGPHC
Department of History, Philosophy, and Religious Studies
North Dakota State University
Dept. 2340, PO Box 6050
Fargo ND 58108-6050
(Please complete a form for each registrant if more than one is sent together.)
Name Email
Address City/State/Zip
Institution or Place of Residence for Badge Phone Number
Early Registration: (rec’d on/before Sept. 12) $50.00 U.S.
Registration: (rec’d after Sept. 12) $60.00 U.S.
Society for Military History Luncheon $16.00 U.S.
Please Specify: ( ) Grilled Salmon
( ) Roast Pork Loin
( ) Pasta Primavera
Women’s History Interest Group Luncheon $16.00 U.S.
Please Specify: ( ) Oriental Chicken
( ) Beef Stir Fry
( ) Vegetarian Stir Fry
Conference Banquet $30.00 U.S.
Please Specify: ( ) Roast Pork Loin
( ) Stuffed Chicken Breast
( ) Stuffed Portobello Mushroom Cap
Missile Launch Site Tour $25.00 U.S.
Digital History Workshop (Sat. a.m.) $25.00 U.S.
Donation to Graduate Student Prize Fund (Please!) $_________________
Total Enclosed $
45 | Northern Great Plains History Conference 2012