Name          __________________________________________________________________

Institution __________________________________________________________________

Address    __________________________________________________________________

                   __________________________________________________________________

E-Mail       __________________________________________________________________

* Please make checks payable to German Studies Association and mail to:

German Studies Association
Arizona State University 
Box 873204
Tempe, AZ 85827-3204
U.S.A.

Or fax to:  (480) - 965-8989 

Please indicate number of persons participating:                                            ______

Registration fee for members as of July 1, 1999    $55.00                                ______
(After September 10, 1999 ----> $65.00)

Registration fee for non-members as of July 1, 1999  ? $65.00                       ______

Registration fee for students with valid ID card           $27.00                        ______

Registration fee for spouses not in the profession      $27.00                        ______

Luncheon on Friday  $20.00       ______ person/s =                                       ______

Banquet on Friday     $25.00       ______ person/s =                                       ______

Luncheon Saturday   $20.00       ______ person/s =                                       ______

I wish to pay by  _____ Mastercard  or  _____ Visa                     TOTAL: ______

Credit Card#: ______________________________   Exp.Date: _______________

NO OTHER CREDIT CARDS OR EUROCHEQUES CAN BE ACCEPTED!!

Signature: _________________________________
 

 


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