24th Annual Conference on Film and Literature
"Violence in Film and Literature"
Program # 2600899
January 28-30, 1999   •   Turnbull Conference Center   •   Tallahassee, Florida

 
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Affiliation_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  _ _ _ _ _

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City _  _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ State_ _ _ _ _   Zip_ _ _ _ _ _ _

Daytime phone _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 

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I have enclosed payment for the following:
   o Participant fee $95                                          o FSU Student/Faculty
     o Lunch and entertainment $12
   o Non-presenting participant fee $75

My preferred method of payment is:
   o Check (payable to Florida State University in US currency)
   o Purchase Order (attach copy)
   o Charge           o MasterCard          o Visa          o American Express

Account # _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _Exp. Date_ _ _ _ _ _ _ _

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Should you require it, our FEID# is 591961248.
COMPLETE this form, enclose your payment and register one of these 4 easy ways:

Register today!
Call
(850) 644-3806
8:30 am-5:00 pm
Mail
registration to
CPD/FSU 
Tallahassee, FL 32306-1640
Fax
registration to 
(850) 644-3803 
Open 24 hours
E-Mail
registration info to
cpd-reg@mailer.fsu.edu
If you have a disability requiring accommodation, please call (850) 644-2118 at least seven days prior to the program.
For additional information about this program, please call Sheryl Kormondy at (850) 644-2118.