Name:      ________________________________________________

 

Affiliation: ________________________________________________

 

Address:  ________________________________________________

 

                  ________________________________________________

 

                  ________________________________________________

 

email:       ________________________________________________

 

 

Registration fees:	non-students	students
Whole conference (4 days)	$110	$65
2-3 days only	$85	$50
1 day only	$30	$20

 

Registration                                                                   ___________

 

Lunch on August 14:

     Chinese (with vegetarian options)  $7.50                         ____________

 

Lunch on August 16:

     Hawaiian $8.50 or Vegetarian $7.50                                ____________

 

Field Trip on August 15  $18.00

      includes lunch: check here if you want vegetarian __          __________

 

Conference Dinner on August 16

     Full buffet  $25 or Salad and dessert bars only  $18          ____________

 

TOTAL                                                                                                    _____________

 

Please make checks payable to “Jeff Siegel (Sato Center)”. Please mail the complete form
along with payment to the following address.

 

SPCL Summer '03

Department of Second Language Studies

1890 East-West Road

Honolulu, HI 96815