MODERNIST STUDIES ASSOCIATION 4th
ANNUAL CONFERENCE
MSA 4
October 31
– November 3, 2002
Madison,
Wisconsin
Duplicate as needed.
A separate form must
accompany each registration.
REGISTRATION FORM:
Name Badge Name
Affiliation Address
City,
State Zip/Country
Telephone (
) Fax (
)
E-Mail
Conference
Registration includes Thursday Welcome Reception; Saturday Reception;
refreshment
breaks; and conference materials.
Before Sept. 15th
After Sept.
15th
Full Conference
Registration:
Faculty Registration $
90.00 $115.00
$ __________
Student/ Adjunct Registration $ 45.00 $ 70.00 $ __________
Options:
Saturday Lunch $ 19.00 $
(Note that there are only 300 seats available for
lunch. Please register as soon as
possible to secure a place. Lunch
tickets will not be for sale at the conference.) The MSA business meeting will follow the lunch.
TOTAL
ENCLOSED $
Method of Payment: €
Check or money order € Purchase Order
(payable to UW Extension)
Send Registration Form with
check (payable to UW Extension) enclosed
to:
MODERNIST
STUDIES 2002
ATTN:
Gloria Eichenseher
The Pyle Center, Rm. 139
702 Langdon Street
Madison, WI 53706
OR,
Fax form with purchase order
information to: (608) 265-3163
Please
indicate any special dietary or access needs:
Please note that MSA membership dues should be sent to Johns
Hopkins University Press.
For
Registration and payment information contact: Gloria
Eichenseher (608) 265-2955 or eichens@ecc.uwex.edu
For
Program information contact: Elizabeth
Evans, efevans@facstaff.wisc.edu