Melville and the Pacific: Register

Regular Registration Deadline: February 10, 2003

Use the form below to generate a printable registration form for the Melville and the Pacific conference (the form will open in a new window). You can also print a blank registration form.

Full Name:

Affiliation
(or other designation):

Guest’s Name:

Guest’s Affiliation
(or other designation):

Email:

Mailing Address:

Telephone:

Quantity

Registration Fees

Regular registration
($100 per person)

Discount registration
($85 per person; for seniors [over 65],
graduate students, & independent scholars)

Late registration
($115 per person; after 2/10/2003)

Conference banquet
($30 per person)

	Chicken
	Fish

The information collected on this page is not stored in a database or used for any purpose other than creating a printable registration form.


	Copyright © 2002-2003 Charlene Avallone & Carolyn Karcher, All Rights Reserved. Design & implementation by HLD Enterprises.