Please register online or mail in a completed
form.
Registration deadline: extended to October 22
You need not send payment if you do not choose a lunch.
Name
Please enter your name as you wish it to appear on your badge.
Campus
Address
Address
City
Zip Code
Phone
Email
Lunch
If you choose lunch, send a check payable to UC Regents for
$15.00 to:
Susan Garbarino
LAUC Fall Assembly
UC Berkeley
248 Giannini Hall
Berkeley, CA 94720-3310