Pagan Conference

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Online Registration

For Presenters and Participants (but not presenting)

EmailMeForm

Name
First Last
Institution or Independent Scholar
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone (Day)
### - ### - ####
Phone (evening)
### - ### - ####
Email
TITLE of your proposal
I am participating but not presenting
YOUR A.V. NEEDS
Every attempt will be made to accommodate specific requests, but we cannot guarantee to meet all needs. Equipment requests not included on this form may not be accommodated.

VCR/ Monitor

Overhead Projector

Slide Projector

PowerPoint

Other:

Fees: Includes Coffee and pastries at Registration & Conference
Claremont Consortium Students: $25
Students: $45
Others: $55
SAVE MONEY & GREEN THE CONFERENCE--
Bring Coffee cup- Reduce fee by $2.50
Bring Plate- Reduce fee by $2.50
Bring Both- Reduce fee by $5.00

Please use paypal button on Registration main page to pay fees.