Kenneth Burke Society Conference

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Kenneth Burke Society 2008 Conference

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Kenneth Burke Society Conference Registration Form

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*Required Fields

* First Name:

* Last Name:

* Preferred Name (for badge):

* Affiliation:

* Address Line 1:

Address Line 2:

Address Line 3:

* City:

State:

Zip:

* Country:

* Email Address:

* Preferred Contact Phone:

Fax:

Describe any special dietary requests:

Describe any accessibility needs:
(re: mobility/technology, transportation, housing, interpreter, braille/large print):

* I will attend:

Conference

Memorial Reception only

Memorial Reception and Dinner only

* Planned arrival date:

June 28

June 29

Other Please specify:

* Please indicate how you will be paying:

Credit Card

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Registration Costs (these are pre-registration prices; on-site registration will add $30):

	KBS Member	non-KBS Member
Student	$125	$145
Faculty/Independent Scholar/Emeritus	$175	$195

Costs for those attending only the Brock/Griffin/Rueckert Reception:

	Reception only	Reception & Dinner
	$30	$60

Cost:

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