MADISON USCSCA National Conference Registration Form

Name:

Address:

E-mail address Phone:

Please check:

Member of a chartered sister city association

Member of a sister-city group in formation

Member of an allied Cuba-interest group

Member-at-large of USCSCA

None of the above (conference is open to the public)

Registration fee: $25.00

Enclosed
Will pay in Madison (Please make check payable to USCSCA.)

Where you’ll be staying in Madison:

Mail to: Robert Kimbrough, , 3206 Gregory St., Madison, WI 53705; 608-238-1266; prose@facstaff.wisc.edu