Frances Hodgson Burnett: Beyond the Secret Garden
A conference to be held April 25-27, 2003, at California State University, Fresno

r e g i s t r a t i o n    f o r m

DEADLINE for receipt of registration is April 11, 2003. Attendance is limited to 200.

Mail this form to: Arne Nixon Center, California State University, Fresno,
Henry Madden Library, 5200 North Barton Ave. M/S ML 34, Fresno CA 93470-8014

Or FAX this form to: (559) 278-6952

Name (as it should appear on badge):
First _________________________________     Last _________________________________
Affiliation and/or home city (as it should appear on badge):
____________________________________________________________________________
Preferred mailing address:
Street/P.O. Box ________________________________________________________________
City ________________________________ State ________________ ZIP ________________
Telephone(daytime): ___________________________ FAX: _____________________________
E-mail address: _________________________________________________________________
Please indicate your choices below and indicate amount paid:                 ANCA member / Non-member
q      Registration for the ENTIRE CONFERENCE
(includes Friday reception, Saturday lunch, and Sunday brunch)
Vegetarian meals? _____		 $125 / $150 __________
q      Registration for Friday ONLY (includes reception) $65 / 75 __________
q      Registration fro Saturday ONLY
(includes lunch and the Friday reception) (Speaker: Michael Cart)		 $65 / 75 __________
q      I will bring ____ GUESTS(S) to the Friday evening reception. (speaker: Michael Cart)
Name of guest(s) ________________________________________		   no charge
q      I will bring ____ GUESTS(S) to the Saturday luncheon. (speaker: Alison Lurie)
Name of guest(s) ________________________________________
Vegetarian meal? _____		 $25 / 30 __________
q      I will bring ____ GUESTS(S) to the Saturday luncheon. (speaker: Penny Deupree, great-granddaughter of FHB)
Name of guest(s) ________________________________________
Vegetarian meal? _____		 $35 / 40 __________
For those registering for only one day of the conference:
q      I will attend the Sunday brunch.		 $35 / 40 __________
  TOTAL: __________

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PLEASE make separate checks for membership and registration fees.
q      A check is enclosed, payable to "CSUF Foundation."
q      I authorize a debit to my credit card in the amount of $ ___________
       Visa ____  Mastercard ____  American Express ____
       Card number: ___________________________________ Expiration date: __________________
       Name on the card: ________________________________
       Signature: _______________________________________
q      Children's Track--Check here to request information and a registration form.
q      Academic Credit(one unit)--An optional unit of university credit is available for an additional $40.
To receive credit, participants must attend at least one full day of the conference, plus the Friday
night reception. Check here to request information and an application form.
 

Hotel registration information for the Piccadilly Inn-University will be sent to those who register.

Please let us know if you have a need for any special services (e.g., sign language interpreter).

NOTE:Refund requests must be submitted in writing prior to April 11, 2003, and are subject to a $25 cancellation fee.