REGISTRATION FORM 2003
SE-W ABC REGIONAL CONFERENCE
March 27-29, 2003
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Name & Addres
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Telephone Number:
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E-mail address:
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Name for Badge:
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Affiliation:
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Date of Arrival:
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Payment:
Check Enclosed Amount:
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Visa or MasterCardęAmount: _______________
Card Number: _______________
Expiration Date: _______________
Signature: _________________________________
Mail Registration to:
Kenneth Mitchell
Department of English
Southeastern Louisiana University
Box SLU 10861
Hammond, LA 70402
Presenter Registration Deadline: February
7, 2003
Attendee Registration Deadline: February
25, 2003