Webmaster: David Loberg Code, School of Music,
Western Michigan University, Kalamazoo, MI, 49008.
Email: code@wmich.edu
http://www.wmich.edu/mus-theo/mtmw/mtmw99/99_reg.html
Revised: 5.Mar.98
Name (to appear on name tag):_______________________________________________
Academic Affiliation:________________________________ Faculty [ ] Student [ ]
Mailing Address:__________________________________________________________
City/State/Zip:____________________________________________________________
Is this a change of address? NO [ ] YES [ ]
Telephone: (w)__________________________ (h)___________________________
E-mail address:___________________________________________________________
Registration Fee. . . . . . . . . . . . . . . . . . . . . $____________
Before 3 May: MTMW Member $15; Non-Member $25; Student $8
After 3 May:
MTMW Member $20; Non-Member $30; Student $13
Luncheon Buffet (Saturday, May 15, 12:00 noon):
_________ persons @ $13.00 each . . . . . . . . . . . . $____________
| Dormitory Room Fee (if applicable): | ||
| Nights Needed: 5/13___ 5/14___ 5/15___ | ||
|
____ Double (@$20 per person per night) |
I plan to order tickets to the Indianapolis Opera's production of Macbeth :
NO [
]
YES [
]
Number of Tickets:_____
(this information will help us verify your reservation - we will
have your tickets for you when you register - see details on ordering
tickets under "General Information" - Do NOT
include money for tickets with your conference registration fee!)
Total Amount Enclosed (Check payable to "MTMW")...$___________
Mail check along with this completed registration form to the following address. Your
canceled check will serve as your receipt. Please do not send cash:
Jeff Gillespie
MTMW Registration
Jordan College of Fine Arts
Butler University
4600 Sunset Ave.Indianapolis, IN 46208