summer conference registration form

Summer Conference Mail-in Registration Form (please print)

Name____________________________________________
Address__________________________________________
City__________________ State________ ZIP_________
Social Security Number or UF ID Number (if taking for credit)_______________________________
Telephone____________________Email_______________________
 
I am enrolling in the 2013 Summer Conference for non-credit.

Enclosed is $_______ for:
Five days ____  $225
Four days ____ $200 
Three days _____ $170  
Two days ____  $120 
One day  ____   $75
 
The days I will be attending are: (Please circle)
Monday     Tuesday     Wednesday     Thursday      Friday
 
Children’s Book Writing Strand _____
(You must sign up for the full five day conference schedule)
 
I am enrolling in the 2013 Summer Conference for credit.
   
  Undergraduate credit:
                       
Graduate credit:
​1 credit hour       $640
​1 credit hour       $501
​2 credit hours      $1,280 ​2 credit hours      $1,002
​3 credit hours      $1,920 ​3 credit hours      $1,503
​4 credit hours      $2,004
​5 credit hours      $2,505
 

Complete this registration, making your check payable to the Mazza Museum.
Mail both to:
 
Benjamin Sapp, Director,
Mazza Museum
The University of Findlay
1000 North Main Street,
Findlay, OH 45840-6480
 
Phone     419-434-5521
FAX       419-434-6480
Email     sapp@findlay.edu