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| 2004 SCLA Registration Form
SCLA REGISTRATION FORM Name (as you wish it to appear on conference badge): _______________________________ Affiliation (as you wish it to appear on conference badge): ____________________________ Registration fee, paid by check, enclosed (please check one): Faculty $75 _________ Graduate Student $25 __________Faculty (Late) $85 ________ Graduate Student (Late) $25 __________ Please add $22 if you will be attending the business luncheon Oct. 2 I plan to attend. __________ No, I do not plan to attend. _________Please add $35 to the cost if you plan to attend the banquet. I plan to attend. __________ No, I do not plan to attend. _________ Vegetarian Menu Required: Yes No Special Requirements for Presentation (audio-visual equipment, etc.):
Other special needs we should be aware of?
PLEASE BE SURE TO SEND IN YOUR CHECK TO ARRIVE BY AUGUST 31-- OUR MAILING ADDRESS IS: SCLA CONFERENCE THANK YOU!!! |
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