VASTA Voice And Speech Trainers Assoc. Inc.
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Conference Application

 

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Print this form and mail it to the address below with your check (made out to VASTA) in US Dollars only. If you are an international member and find it difficult to pay via US Dollar Check or International Money order, you may be able to arrange your payment via PayPal. Contact Craig Ferre ferrec@byuh.edu to confirm how to do this.

Name

   

Address

   

City,State

   

Post Code

   

Country

   

Home Phone

   

Work Phone

   

Fax

   

Affiliation

   

Title/Rank

   

E-mail

   

 

   

Conference Registration Fee ($120)

   

Student Registration Fee ($60)

   

Non-Member Registration Fee ($200)

   

Membership
($65 +$6 p&h*=$71)

   

Student Membership
($35 +$6 p&h*=$41)

   
   

TOTAL:
   

Make Checks payable to VASTA

What is (are) your Burning Issue(s)?

 
 



I would like a flyer for the Franklin Hotel.


Mail this form to:

Judylee Vivier,
Theatre Department,
Brooklyn College, CUNY,
2900 Bedford Avenue,
Brooklyn, NY 11210-2889

Office Tel: (718) 951-5823
JVivier@Brooklyn.Cuny.edu

Application Deadline is July 1,2003! NO EXCEPTIONS.


*$6 postage and handling covers the cost of mailing and processing the Newsletter and VASTA’s Journal, The Voice and Speech Review.

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