RHETORIC AND DEMOCRACY IN THE AGE OF THE INTERNET
CONFERENCE REGISTRATION FORM

We are nonprofit organizations and must ask all conference participants, including presenters, to pay a registration fee of $75 ($50 for students).  These fees will be used to defray the costs of the conference.  The registration fee will provide you with a folder of conference materials, free shuttle service between the Hastings Hotel and Trinity's campus,  lunch on Saturday, and food and coffee service for reception, continental breakfasts, and breaks throughout the conference.  We hope you will also choose to join us for a banquet at the Hastings on Saturday evening (optional, $20 extra).   

To register, please print out this page and return via mail or fax.  Please print in ink or type.
(Sorry!  This is not a registration form that can be submitted online.)


Last name                                                         First name                                               Middle initial 


Institutional/organizational/business affiliation                                           Title                                         

Mailing address for conference information (no. and street or box no.)                                                        

City                                                                  State                      Zip code                             Country  


Work phone                       Home phone                     Fax                       Email                                     

Registration Fees
[  ]  General registration   $75.00     or     [  ]  Student registration   $50.00
[  ]  Saturday Evening Banquet (optional)   $20.00
[  ]  Dormitory Housing for 2 nights @ $35.00per night for a total of $70.00

Total Payment Enclosed $______________

Method of Payment
Your payment in full must accompany your registration form.  Fax registrations must be accompanied by credit card payment information.
[   ]  Enclosed is a check drawn on a U.S. bank in dollars, for the amount indicated above, payable to Trinity College.
[   ]  Charge the amount indicated above to my credit card.

Name as it appears on credit card ____________________________________________________ 
Type of Card:  Visa   MasterCard  (circle one) 

Account number and expiration date:__________________________________________________

Signature________________________________________________

Mail your completed registration form to: Jane Decatur, Conference Registration, 115 Vernon St., Trinity College, Hartford, CT  06106, USA          Or fax to: 860-297-5258  

Note: If you have to cancel, requests for refunds must be made in writing and must be received at least 10 days prior to the conference.

Questions about registration?  Contact Jane Decatur at jane.decatur@trincoll.edu

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