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Trader Registration Form

NIU Gatherings Powwow

November 1, 2008

Nations will host its Sixteenth Annual Powwow on Saturday, November 1, 2008. The registration fee is $100.00 per 10’ x 10’ space. Each space includes a 5’ table and two chairs. Space is limited, so please reserve early. After October 18th there will be a $25 late charge per space.

Please, make checks payable to Northern Illinois University.

Please return this form to:

NATIONS, Student Association
Campus Life Building
Attn: Trader Registration
Northern Illinois University
DeKalb, IL 60115

Organization Name: _____________________________________________________

Address: _____________________________________________________________

City: __________________________________ State: ______ Zip Code: __________

Contact Person: _______________________________________________________

Phone: ______________________________________________________________

Special Needs: _________________________________________________________

Number of Spaces Requested

___________

Amount Per Space:

$100.00

Total Amount

___________

Number of people attending the dinner feast   ___________