Nashville '99: Hitting the high notes of literacy Nov. 10-13, 1999 Printable Conference Registration Form Please complete this form and return by October 15 to: PO Box 7941, Hilton Head Island, SC 29938 or FAX to 843-671-5670 Last Name: _________________ First Name: ________________ Name to appear on Badge ________________ Organization: ________________ Zip: _______ City: ________________________ State ________ Work Phone: ________________ Home Phone: ________________ Fax: ________________ E-mail: ________________ Check appropriate blank(s): ___ LVA Member ___ Non-Member ___ Student ___ Voting Delegate (1 per Full Affiliate) ___ Yes, I would like to facilitate a workshop. Registration Information Pre-Conference (Wed Only) By 10/15 After 10/15 Conference (Thu-Fri) By 10/15 After 10/15 __ LVA Member $100 $130 __ LVA Member $195 $235 __ Non-Member $125 $150 __ Non-Member $225 $270 __ Student $25 $30 __ Student $100 $120 ______________ __ Shuttle to Downtown Daily Fee __ Nashville $10 __ LVA Member $100 $125 __ Vegetarian Meals Requested __ Non-Member $125 $150