| Extremism and the Excluded Middle | 
Department of English
								108 ECS Building, Kansas State University
								Manhattan, KS 66506-6501
Name: ___________________________________________________________________________________
E-mail Address: ________________________________________________________________________________
Affiliation (University, college, high school, etc.): _______________________________________________________
Paper Title (if presenting): __________________________________________________________________________________
								
								_____________________________________________________________________________________________________
								
								Mailing Address (please include street address, city, state, and zip code):
								
								_______________________________________________________________________________________________________
								
								_______________________________________________________________________________________________________
								
								Contact Phone Number: ___ Office ___ Home (______) __________________________________________
								
								Fax Number: ___ Office ___ Home (______) __________________________________________
								
								Registration Category (mark one)
								___ KSU Affiliate (KSU faculty member, alumni, employee, student)............ $20
								___ Faculty/Teacher (Non-KSU & Primary/Secondary Eduction).................... $50
								___ Independent (Not affiliated with any educational institution) .................... $50
								___ Graduate Student (Non-KSU affiliated)................................................. $20
								Total Registration Fee: _______
								
								Parking (No permit is required for Saturday)
									General (___ Thursday $3) (___ Friday $3)
									Reserved (___ Thursday $13) (___ Friday $13) -- Student Union lot at meters 
								Total Parking Fee: _______
								
								Equipment (provided at no charge)
									(___TV/VCR) (___Slide projector/Screen) (___CD/Cassette Player) (___DVD Player)
								
								Equipment (available for a fee)
									(___laptop projector -- $15 fee)
								
								Method of Payment (please do not send cash)
								___ Check # ___________ (please make check payable to: KSU Department of English)
									___ Money Order
									___ Will pay at Registration (all registration fees will be higher at the door)
								Amount Enclosed: _______
								
							Return this pre-registration form with your payment to the above address, ATTN: Cultural Studies Conference 2008. Please keep a copy of this form for your records.
This page was last updated on 
Other pages may have been updated more recently.
Copyright © 2006-2007 Kansas State University's Department of English. Please read the Disclaimer.