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UDC Conference 1999 Registration Form

Print and fill out the form below and mail it (with your check in U.S. dollars payable to "Union for Democratic Communications") to:

Register as early as possible to assist conference organizers with their planning (and to avoid late fees)!

Name:__________________________________________________________________

Address:________________________________________________________________

City, State, Country, Postal Code:_________________________________________________

Work phone:____________________________________________________

Home phone:____________________________________________________

FAX/TELEX:____________________________________________________

E-mail Address:__________________________________________________

Organizational Affiliation:_______________________________________________________

Registration Categories (check one):

Please note--you must be a current UDC member to register for the conference. If you have not obtained or renewed a UDC membership since November 1998, please enroll under one of the registration plus membership categories below:

__________Registration only: $75 (after September 15, $85)

__________Registration plus membership: $110 (after September 15, $120)

__________Registration plus sustaining membership: $130 (after September 15, $140)

__________Student/low income registration only: $50 (after September 15, $60)

__________Student/low income registration plus membership: $ 65 (after September 15, $75)

Are you a confirmed presentor or panelist? ______yes

Name of presentation (paper) or panel_________________________________________

(see Housing Information page)

Make Check Payable to the "Union for Democratic Communications."

UDC Conference 1999 Registration Form

Registration Categories (check one):

This site is maintained by Frederick Emrich. Last updated August 1999.