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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 to the Treasurer. This is the person who takes money.

I am a(n):

    

Pronouns: 

Name:

MSU ID: 

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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