(Please print.)

Name:

Name as it should appear on conference name tag and program:

Title of conference presentation:

Institutional Affiliation:

Saturday Luncheon: On Saturday there will be a buffet luncheon held at Café Lafayette. There will be three entrée options, including one vegetarian entrée. Please indicate if you prefer the vegetarian option as we need to plan in advance for this event. If there are other considerations that we need to take into account, please indicate this as well in the following space:

Conference Fees (USA funds): Please include with Registration Form
$40.00 (Fee includes receptions, Saturday luncheon, refreshment breaks, and presentational costs.) Checks payable to UL English Department.

Send Registration Materials by March 17, 2004 to:

Kathryn Lane
Department of English
University of Louisiana at Lafayette
P.O. Box 44691
Lafayette, LA 70504-4691

 

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