Please Print Out, Complete, and Mail                        Space is extremely limited, so early registration is strongly encouraged.

Mapping NonfictionAEPL June 24-27 2004
Registration Form

 Costs Include Registration, Room and Board  (All Fees Payable in U. S. Currency or Equivalent)

 

Members       Non-Members

Single Occupancy                     $750                $790

Double Occupancy                   $550                $570

Triple Occupancy                     $450                $470

Quadruple Occupancy              $375                $395

Full time Student Discount         $100

Registration Only*                    $250                $270

            (*Without room and board)

(*Student discount does not apply)

 (Board Members arriving Wednesday for Thursday morning board meeting, add $160-single; $110-double; $85-multiple)

 

Name     ___________________________________________________________

 

Address ___________________________________________________________

 

Phone    ___________________________________________________________

 

Email     ______________________

 

Institution (if applicable) ____________________________________________________

 

Preferred Roommate    _____________________________________________________

 

Please Place me with a roommate  ____ Yes   ____ No

 

Mail completed Registration Form and check (credit cards are not accepted) payable to AEPL for full payment or for $100 deposit refundable before May 1, 2004 to:

 

Kia Richmond, Registration Chair, 1401 Presque Isle Ave, Northern Michigan University, English Department, Marquette MI 49855

 

Email questions to Krichmon@nmu.edu Or Susan.A.Schiller@cmich.edu or Robert.L.Root@cmich.edu

 

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