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Registration Form Please print, fill out and return to address below. Name: _________________________________________________________________ Address: ________________________________________________________________ City: __________________________ State: ______________ Zip: _________________ Phone: (_____) _______________ Email: _____________________________________ Instrument: ____________________________
Current Conducting/Teaching Position Ensemble/School: _________________________________________________________ Title/Positions: ____________________________________Since (mo/yr) ____________ Address: _________________________________________________________________
Please register me for the 2009 Conductors Workshop _____ $75.00 Registration fee enclosed (non-refundable) _____ Overnight Tuition - Balance $674.00 _____ Day Tuition - Balance $584.00 The balance of the tuition is due by July 1, 2009. Make checks payable to Conductors Workshop of America. (Sorry, no credit cards.) On a separate sheet of paper, please include the following:
Mail application, deposit and attachments to: Conductors Workshop of America 930 Park Road Iowa City, Iowa 52246-3821 |