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ALLYance
UPO 2422
Morehead, KY 40351
Phone: 606-783-9316
Email: allyance@moreheadstate.edu 

MSU Home :: Student Activities, Inclusion and Leadership (SAIL) :: Registration Form

ALLYance Registration Form

Dues are $15, and must be paid in person by mail. 

I am a(n):

     

Name:  

Local Address:

              

E-mail:  

Phone:  

Major/Department/Occupation:  

I am interested in: 

     

If you selected "Other", please explain:

               

 

By submitting this form, you agree to disclose this information to the ALLYance. You will begin to receive e-mail updates about meetings, news and events. 

 

 

 

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