MoRISC Conference Registration Mr.Ms.Mrs.Dr.ChiefQueenHon. First Name (required) Middle Name Last Name (required) MaleFemale Your Email (required) Mobile Phone Number Work Phone Number Your Home State FakoNdianMemeKupeLebialemManyuMezamNgoketunjiaBuiBoyoMomoMenchumDonga-Mantung Birth Year 201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921 Attending? YesNoMaybeUndecided Type of Attendance ---In Persone-Attendee Your Mailing Address House Number Street Name Town/City Zip Code Message to MoRISC