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Northwest Missouri State University


Event Registration

Northwest Missourian's Centennial Celebration

Saturday, October 25, 2014

The Northwest Missourian will celebrate its 100th year in publication Saturday, Oct. 25, from 3-10 p.m., with a formal banquet with cash bar in the J.W. Jones Student Union Ballroom from 6-10 p.m. Other events will include an open reception in the recently remodeled Student Media Center, tours of Wells Hall Student Media, including the radio and TV studios, and an informal dutch treat breakfast Sunday morning at Gray’s Diner and Truck Stop.

We've reserved a block of rooms at The Holiday Inn for you too, at the Northwest discount of $89.99 or $104.99 for a suite. Mention the Missourian Reunion for the discount. Call 660-562-9949 to make your reservation. We have 35 rooms and 5 suites at that rate. Discount is available through Sept. 25.

Registration Fee: $20 per person
Registration Deadline: Friday, Oct. 10 at 5 p.m.

 

 All registrations are final upon confirmation. No refunds or exchanges are available.

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Registration Information

*Number of Guests:  ($20 each)
Registration: Primary Guest
*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip Code:
*Phone Number:
*Email Address:
*Year(s) on Staff:
*Position(s) Held:
Graduatation Year:

Please provide the names of the other members in your party.

Registration: Guest #2
*First Name:
*Last Name:
*Misourian Staff: Yes No
Years/Positions:
Registration: Guest #3
*First Name:
*Last Name:
*Misourian Staff: Yes No
Years/Positions:
Registration: Guest #4
*First Name:
*Last Name:
*Misourian Staff: Yes No
Years/Positions:
Registration: Guest #5
*First Name:
*Last Name:
*Misourian Staff: Yes No
Years/Positions:
Registration: Guest #6
*First Name:
*Last Name:
*Misourian Staff: Yes No
Years/Positions:
Registration: Guest #7
*First Name:
*Last Name:
*Misourian Staff: Yes No
Years/Positions:
Registration: Guest #8
*First Name:
*Last Name:
*Misourian Staff: Yes No
Years/Positions:
Registration: Guest #9
*First Name:
*Last Name:
*Misourian Staff: Yes No
Years/Positions:
Registration: Guest #10
*First Name:
*Last Name:
*Misourian Staff: Yes No
Years/Positions:
Additional Comments:

Payment Information

Payment Type: Credit or Debit Card
Cash, Check or Money Order
Total Amount Due: $

Billing/Cardholder Information

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Last Name:
Address:
City:
State:
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To retain a copy of this application for your records,
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Questions or concerns?
Contact Director of Student Publications Steven Chappell at stevenc@nwmissouri.edu
or General Manager Leslie Murphy at LMURPHY@nwmissouri.edu