Registration   

Option A: Fill out following form. Email, mail or fax to Center.

Option B: Secure ON-LINE Registration

Full registration includes all events and concerts. Dinner additional.

Presenter Registration                                                       $225.00________

Advance general registration (until March 1, 2006)           250.00________

Regular general registration (after March 1, 2006)             295.00________

Graduate Student registration                                              75.00________

Dinner, Friday evening                                                 35.00________

Chicken or pasta (please choose)

TOTAL                         $_______ US$

Name:

Affiliation:

Address:

Phone:

Email:

Make checks payable to The Ammerman Center for Arts & Technology, mail with form to:

Ammerman Center for Arts & Technology
Connecticut College, Box 5365
270 Mohegan Avenue
New London, CT 06320-4196 USA

Or charge: (Mastercard/Visa)

Amount charged ________________

Credit card #:_______________________________________

Name on card      _______________________exp. date_____________

For further information please call 860.439.2001 or email cat@conncoll.edu