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Southern Appalachian Student Conference on Literature 2009 SASCOL 2009 Pre-registration Form (due April 6, 2009) Name: ______________________________________________________________ Mailing Address: ______________________________________________________ City, State, Zip: ______________________________________________________ Telephone: _____________________________ Fax: _______________________ E-Mail (primary):____________________________ E-Mail (secondary): __________________________ Web Page: ________________________________________________ Do you wish to list your web page on our "SASCOL Connections" page for SASCOL participants? Yes: _____ No: _____ School Affiliation: _____________________________________________________ If you have special needs about your diet, please describe them: _____________________________________________________________________ You may register for the conference at this time, if you wish. All conference participants must pay for registration by 1 September 2009.
SASCOL 2009 Conference Registration (note that conference registration includes lunch and evening banquet) _____ Presenter $25.00 Name of Essay Submission: _________________________ (Please read the essay submission guidelines.) _____ Attendee $25.00 _____ School Representative: $25.00 You wish for us to reserve for you a display table under what organization name? ___________________________________________________________________
Total of Registration: $______ Make checks payable to SASCOL/ETSU Note: East Tennessee State University does not permit smoking within its buildings. Please read and sign: I
understand that ETSU cannot be held responsible for any injuries that occur
unless it can be proven ___________________________________(signature) Questions about the conference? Contact: Katherine Weiss (weisk01@etsu.edu) or Thomas Alan Holmes (holmest@etsu.edu) |