Summer Conference 2011

July 11-15, 2011


Mail-in Registration Form

Name____________________________________________

Address__________________________________________

_________________________________________________

Home Phone_______________________________________

Work Phone________________________________________

Cell Phone_________________________________________

Social Security Number_______________________________

UF ID Number (if student)_____________________________

Email______________________________________________

I am enrolling in the 2011 Summer Conference for:

Noncredit:

• Five days              $225
• Any four days       $200            
• Any three days     $170
• Any two days       $120
• One day               $65

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)

Undergraduate credit:

• 1 credit hour      $610
• 2 credit hour      $1,220
• 3 credit hours    $1,830

Graduate credit:

• 1 credit hours     $573
• 2 credit hours     $1,146
• 3 credit hours     $1,719
• 4 credit hours     $2,292
• 5 credit hours     $2,865
  

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.