Registration Form
Name____________________________________________ Address__________________________________________ _________________________________________________ Home Phone_______________________________________ Work Phone________________________________________ Cell Phone_________________________________________ Social Security Number_______________________________ UF ID Number (if student)_____________________________ Email______________________________________________
- Five days $225
- Any four days $200
- Any three days $170
- Any two days $120
- One day $65
Monday Tuesday Wednesday Thursday Friday
Children’s Book Writing Strand (You must sign up for the full five day conference schedule)
- 1 credit hour $589
- 2 credit hour $1094
- 3 credit hours $1689
- 1 credit hours $511
- 2 credit hours $932
- 3 credit hours $1353
- 4 credit hours $1774
- 5 credit hours $2195
Complete this registration form, making your check payable to the Mazza Museum, and 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 Those who would rather pay for graduate credit with American Express, Master Card or Discover by touchtone may call the following number: 1-866-546-7269. CASHNet SmartPay will assess a service charge for the convenience of making credit card payments via telephone. The fee amount will be stated for reveiw and acceptance before the payment is processed.
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