Use this form to register for the conference and for all classes. We register participants every week day and will send a confirmation of receipt by e-mail, followed by a hard copy of confirmation via snail mail. Please fill out all boxes on this form; if a category does apply to you, please put n/a. If you have any questions, you may use the e-mail query form, or call our office at (360) 866-6000, ext 6192.

First Name:

Last Name:

Studio Name:

Street/PO Box:

City:

State/Prov:

Country:

Zip/Post. code:

Home Phone:

Studio Phone:

Preferred E-mail

Second E-mail

This credit card information may be sent to an unsecured site and may be visible to others.

Method of Payment

Check

Visa

MasterCard

American Express

Credit Card #:

Exp. date:


return home


return to links

The Evergreen State College
Conference Services Office

To contact us:

Phone: 360-866-6000 ext.6192
Fax: 360-866-6797
Email: confsrvs@evergreen.com