39th Annual Social Theory, Politics and the Arts Conference October 24-26, 2013, Seattle University CONFERENCE REGISTRATION FORM Name (last, first): ________________________________________________ Position: ________________________________________________ Institution/Affiliation: ________________________________________________ Street Address: ________________________________________________ City, State, Postal Code: ________________________________________________ Country: ________________________________________________ Email: ________________________________________________ Phone: __________________________ Fax ____________________ CONFERENCE FEES Please make check or money order payable to “Seattle University.” A 20% cancellation fee will be retained if cancelled before Sept 1. No refunds after Sept 1. Early Bird Registration Fee (before August 1) Registration Fee (after August 1) Early Bird Student Fee (before August 1) Student Fee (after August 1) $250 $ ____________________ $300 $ ____________________ $150 $ ____________________ $200 $ ____________________ One Day Registration * $135 $ ____________________ Student One Day Registration * $80 TOTAL FEES $ _________________________ $ ____________________ * Conference Dinner not included Please mail completed form and check to: Seattle University ATTN: Peggy Stevens MFA Arts Leadership, CLMB-181 P.O. Box 222000 Seattle, WA 98122