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Registration Form
Eleventh Annual Conference of the
Illinois Philological Association
April 13-14, 2007
University of Illinois at Springfield
Springfield, IL
Please Print or Type
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Registrant’s Name |
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Preferred Mailing Address |
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Email Address |
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Day Telephone |
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Evening Telephone |
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Institutional Affiliation |
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Conference Registration
Please Note: In order to be included in the conference program, registration and payment must be received by March 30, 2007. |
Faculty/Emeritus/Independent Scholar ( circle one) |
$50 |
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After March 30 and On-Site Registration: |
$60 |
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Student |
$35 |
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After March 30 and On-Site Registration: |
$45 |
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(All co-presenters must register for the conference) |
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Banquet Buffet
Reservation must be made and payment received by March 30, 2007 |
$15 |
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Membership Fee: Calendar year Jan-Dec 2007 |
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All presenters must be members of IPA |
Student |
$5 |
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Adjunct Faculty/Emeritus/Independent Scholar ( circle one) |
$10 |
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Full-time Faculty |
$15 |
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Please check here if you are interested in presiding over a session. |
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Check or Money Order Payable to: Illinois Philological Association |
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Please return this form with your payment to: |
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Barbara Cass |
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MSUHB 4093 |
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University of Illinois at Springfield |
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One University Plaza |
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Springfield, IL 62703-5407 |
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Please remit by March 30, 2007
If you have any questions, please contact Barbara Cass at the above address; or by phone:
217-206-6858; or by email: bcass1@uis.edu |