Washington Poets Association

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32nd Annual Conference, Saturday, May 3, 2003, La Quinta Inn, Tacoma

REGISTRATION FORM

Mail to:
WPA Conference Registration
1757 NW 59th Street #301
Seattle, WA 98107
Contacts:
(206) 784-5442
WPAeditor@attbi.com
www.washingtonpoets.org

Name:
 
_________________________________________
Address:
 
_________________________________________
City/State/Zip:
 
_________________________________________
Phone:
 
_________________________________________
Email:_________________________________________

(Number)

(    ) Early Bird Registration $60 (before April 15)   _____
(    ) Regular Registration $75 (after April 15)   _____
(    ) Dinner Banquet and DeFrees reading only $35   _____
(    ) DeFrees Reading only $12   _____
Total Enclosed:   _____

Please check your workshop preference:

Session A:      Session B:
__M. DeFrees       __ S. Zwinger
__K. & H. Jones      __Kahley & Workhoven
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