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Name
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Institution __________________________________________________________________ Address __________________________________________________________________ __________________________________________________________________ E-Mail __________________________________________________________________ * Please make checks payable to German Studies Association and mail to: German Studies Association
Or fax to: (480) - 965-8989 Please indicate number of persons participating: ______ Registration fee for members as
of July 1, 1999 $55.00
______
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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