First Name:
Last Name:
Address:
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Code:
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Female
Male
Organization:
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Student
Teacher
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Vegetarian Meals Requested:
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Please choose the
registration fee that suits you. Costs are per person.
Each person attending
must submit a completed form.
Registration Fees:
Conference registration (prior to June 30th, 2008): $260 (US)
Includes food service as stated below. Lodging is separate.
Registration (after June 30th, 2008): $295 (US)
On-site registration: $315 (US)
One-day only registration fee: $100 (US)
State Day of Attendance:
Pre-Conference Youth Poetry Day (Tuesday, July 29, 2008) $55 (US) per student
or teacher
Member, Haiku Canada: $100 reduction in
registration fee if paid before June
30, 2008. Registration fee: $160.
Member, Haiku
Society of America: $100 reduction in registration fee if paid
before June 30, 2008. Registration fee: $160.
So we may better
accommodate you, please register at least 10 business days prior to the
event.
CONFERENCE ACTIVITIES:
I am attending:
Wednesday, July 30,
Poets Reception
No Charge
Ferry Trip to Burlington,
Vermont, Friday, Aug, 1
No Charge
Burlington GUEST
ticket $40 per
Number
of Guests:
Add Total
Cost for Guests Here:
Montreal’s
world-famous Botanical Gardens,
Saturday, Aug. 2 $ 40 (US) *
Link: http://www2.ville.montreal.qc.ca/jardin/en/menu.htm * Register early!!
$40 USD
Botanical Gardens GUEST ticket $40 per
Number of Guests:
Add Total Cost for Guests Here:
LODGING ON
CAMPUS - SUNY Plattsburgh’s MacDonough Residence Hall:
Roommate Name:
$19 (U.S.)
per person per night double occupancy lodging
# of Nights
0
1
2
3
4
5
6
Total
Cost for Lodging:
$23 (U.S.) per person per night single occupancy lodging
# of Nights
0
1
2
3
4
5
6
Total
Cost for Lodging:
Arrival Date/Day/Time:
Departure Date/Day/Time:
LODGING
- SUNY Plattsburgh’s Valcour Educational Conference Center: www.plattsburghcas.com
9 Rooms available
in college owned conference center on Lake Champlain overlooking Valcour
Island. Rooms available only on Monday, Tuesday and Wednesday, July 28,
29 and 30, 2008. Must vacate by 9 a.m. on 7/31/08.
Rooms 1 and 5: $110 (US) per night
# of Nights
0
1
2
3
Total
Cost for Lodging:
Rooms 2,3 and 4: $120 (US) per night
# of Nights
0
1
2
3
Total
Cost for Lodging:
Rooms 6 and 9: $90 (US) per night
# of Nights:
0
1
2
3
Total
Cost for Lodging:
Arrival
Date/Day/Time:
Departure Date/Day/Time:
LODGING - No Charge Home Stay with SUNY Plattsburgh Faculty,
Staff or Students (if available)
Arrival Date/Day/Time:
Departure Date/Day/Time:
TOTAL FEES (US FUNDS ONLY)
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Master Card
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on Card:
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Date:
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Add home zip code if using personal credit
card:
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Signature:(if different from name on card)
Questions or Comments: