Registration Information Writing Research in the Making February 5-6, 2005 Santa Barbara, California To register mail this form to: Paul Rogers C/O Gevirtz Graduate School of Education University of California, Santa Barbara, CA. 93106-9490 Make Checks Payable to: UC REGENTS PLEASE PRINT CLEARLY Name: ___________________________________________________ Organization/Affiliation: _____________________________________ Address: _________________________________________________ City: ___________________________ State/Province: _____________ Zip: ______________ Country: ____________ Daytime Phone: ___________________ Fax: Email:__________________________ Writing Research in the Making Conference Registration: Registration with payment must be received before January 24th, 2005 to receive the early registration price. Graduate Student $40.00 [Onsite day of conference $50.00] Faculty $80.00 [Onsite day of conference $100.00] Amount Enclosed for Conference Registration: $_____________________ The following events are included with your registration. To help us with our planning please indicate which you will attend. ___Saturday Continental Breakfast __ Saturday Night Reception ___Saturday Lunch ___Sunday Continental Breakfast ___Sunday Lunch ___Vegetarian I will be driving while in Santa Barbara, please send me parking information. We can best assist people with disability-related needs if they contact us well in advance of the meeting. Please describe any needs below. ________________________________________________________________________________________________________________ Please email questions to writing@education.ucsb.edu or call 1-805-961-9205 |
Contact Us | 2004 Gevirtz Graduate School of Education