Registration Form

English Association of the
Pennsylvania State Universities
Fall Conference
Lock Haven University of Pennsylvania

October 1-3

A RIVER RUNS THROUGH US: Exploring the Poetics of Place

CONFERENCE REGISTRATION
Due 15 August 2010. Please print clearly.

 

Name: ________________________________________________________________

 

Institution: ____________________________________________________________

 

Your mailing address: ___________________________________________________

 

Phone: _____________________   Email: ___________________________________

 

Audio/visual Needs:  Please indicate any A/V needs below.  We will attempt to accommodate.

 

Reserve a SmartBoard room (y/n) ­___  Additional Needs (describe) ­­­­­____________________

 

Registration Fees:

                                                               

Total Enclosed:         _________________       

 

Fees increase by $10 after 1 September and for on-site registration.

Make checks payable to LHU Foundation—EAPSU  and mail with the registration form to:

Dr. Richard Van Dyke
English Department
Lock Haven University
401 N. Fairview St.
Lock Haven, PA  17745

 

For more information, visit our constantly evolving EAPSU Spring 2010 website at www.lhup.edu/eapsu