RegistrationForm

___    Yes, I plan to attend. Enclosed find my check for $______

Check Includes:

Conference Registration _____

Friday Night Poetry Reading _____

Saturday Night Dinner _____

Writing Workshop _____

___   I can’t attend but want to support your effort.

Enclosed find my check for $_____

Name ______________________________________________________

Address ____________________________________________________

City _____________________ State ______________ Zip ___________

E-mail ________________    Phone ______________

                      MAKE YOUR CHECK TO:
      ALBUQUERQUE CULTURAL CONFERENCE

           COPY AND SEND THIS FORM TO:
      “CONFERENCE,” C/O WEST END PRESS,
    P.O. BOX 27334, ALBUQUERQUE, NM 87125

Registration Form

Albuquerque Cultural Conference