AR Registration Form AR
Active Resistance Registration Info
[ ] yes, I am coming to Active Resistance
[ ] it is okay to put me/my group on the radical address list you
are compiling
[ ] I need housing for me and ______ others
[ ] I need child care for _____ children of ages _____
[ ] I need
[ ] my group want to endorse AR (name: )
[ ] I want to be part of (a) workshop(s) on:
[ ] I want to facilitate (a) workshop(s) on:
[ ] I want to be part of the organizing committee
[ ] I want more detailed info on the AR schedule
[ ] I might be able to transport/coordinate transport
[ ] I would like to come to Chicago early to help put AR
together; Arrival date:
Name:
Organization/Collective:
Address:
Phone:
E-mail:
Fax:
Comments:
Active Resistance registration is $20 per person before July 15,
$25 after. Complete this form, then mail it and
payment to Active Resistance c/o Autonomous Zone, 1573 N.
Milwaukee #420, Chicago, IL 60622. Call (312) 278-0775 for more
info. See you in August!
<EOT>
@xoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxoxox@
@ * * * AUTONOMOUS ZONE INFOSHOP @
@ * * mail: 1573 N. Milwaukee #420, CHILL 60622 U$A @
@ * /\ * street: 2311 W. North Ave., Chicago 60647 @
@ * /__\ Z * phone: 312-278-0775 fax: 312-252-8655 @
@ * / \ * matrix: ugwiller@bgu.edu or chill@burn.ucsd.edu @
@ * * web: //www.ecn.bgu.edu/users/uaadams/azone.html @
@ * * * COLLECTIVE COMMUNITY-ACTIVIST-RESOURCE CENTER @
@"A matter of meeting information authority with information disturbance..."@