Please mail to :

Sara L. Zeigler
Dept. of Government
Eastern Kentucky University
113 McCreary
521 Lancaster Avenue
Richmond, KY 40475

or FAX to 859-622-8019
 
 

School:  _______________________________________________
 

Number of Teams: _______________________________________

AMTA Team Numbers:  ___________________________________

Contact Person:

    Name:_______________________________________________

    Address:______________________________________________

                   _____________________________________________

                   _____________________________________________

    Phone:    _____________________________________________

    E-mail:    _____________________________________________
 

 

Lodging Arrangements:
 

    Arrival Time (approximate): __________________________________________________________
 

    Hotel Name: ______________________________________________________________________
 
 

Payment:  Please make checks payable to "EKU Mock Trial."  Check the appropriate box below.
 

_______  Payment Enclosed (Amount______)
 

_______ We will pay at registration on Oct. 28 (Amount owed________)