Conference Registration

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GLAC-10/SHEL-3 Registration Form

May 6-8, 2004
University of Michigan, Ann Arbor

Please print out, complete, and mail in this form with the 
registration fee by April 15, 2004.

For participants traveling from Europe, we can accept 
payment of the registration fee in person at the conference, 
if this is most convenient. Please send in the registration 
form by April 15.

Name		____________________________________________
Institution	____________________________________________
Address		____________________________________________
		____________________________________________
		____________________________________________
E-mail		____________________________________________
FAX		____________________________________________

Conference registration		______  Faculty	$50
				______  Student	$30
				______  Other	$50

Banquet
(Saturday evening, May 8)	______  $35

TOTAL				______  
(checks payable to The University of Michigan)

Send registration form and payment to:	Anne Curzan
					Department of English
					3187 Angell Hall
					University of Michigan
					Ann Arbor, MI 48109-1003