<script type="text/JavaScript" src="http://www.siue.edu/prospectivestudents/prospective_3col_js.js" language="JavaScript"><!----></script><h2></h2><form onsubmit="return checkFieldsMSR()" name="MSRform" action="http://www.siue.edu/cgi-bin/FormMail.pl" method="post"><input name="recipient" type="hidden" value="ddennis@siue.edu" /><input name="email" type="hidden" value="ddennis@siue.edu" /><input name="subject" type="hidden" value="Multicultural Student Reception Sign-Up Form" /><input name="redirect" type="hidden" value="http://www.siue.edu/prospectivestudents/MSR_Signup_response.shtml" /> <h1>SIUE<br />Multicultural Student Reception Registration Form</h1> <p><strong><span class="xbodytext"><span style="font-family:Arial, Helvetica, sans-serif; ">Monday, February 16, 2009<br />10:30 a.m. - 3 p.m.<br />Meridian Ballroom, Morris University Center</span></span></strong></p> <p><span class="xbodytext"><input name="Attending" type="radio" value="Attending" /><strong><span style="font-family:Arial, Helvetica, sans-serif; font-size:10pt; ">Yes, I plan to attend the Multicultural Student Reception</span></strong></span></p> <p><span class="xbodytext"><input name="Name" size="60" maxlength="60" type="text" value=" Name" onfocus="this.select()" /></span></p> <p><span class="xbodytext"><input name="High_School" size="60" maxlength="60" type="text" value=" High School" onfocus="this.select()" /></span></p> <p><span class="xbodytext"><textarea name="Attendees" rows="5" cols="56" onfocus="this.select()">Names of guests accompanying me</textarea> </span></p> <p><span class="xbodytext"><input name="Attending" type="radio" value="Not Attending" /><span style="font-family:Arial, Helvetica, sans-serif; font-size:10pt; ">No thanks; I won't be attending the reception.</span></span></p> <p><span class="xbodytext"><input name="Submit" type="submit" value="Sign Me Up!" /> </span></p> <p><span class="xbodytext"><input name="Submit2" type="reset" value="Reset Form" /></span></p></form>