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LISO Conference Registration Form
Last/Surname: __________________First/Primary_________________________
Affiliation/Institution :__________________________
Please check: student
$15: ____ faculty or other (please specify) $20:_________
Street Address 1:
________________________________
Street Address 2:
________________________________
City:__________________ State:________
Zip:________ Country:________________
E-mail: ______________________ Phone: (_____)
______-____________
On which date(s) do you plan to
participate in the conference?
(Please see the LISO 2005 Conference website for exact times and
locations of each event)
Thursday, May 12 (Graduate students
ONLY- please specify):*
Workshop with Paul Drew:_____
Workshop with Lanita Jacobs-Huey:_____
Workshop with Michael Silverstein:_____
Workshop with Catherine Snow:____
*The
workshops have a 25 person limit so register early to ensure a spot!
Opening Night Reception on Thursday, May 12 (Open to everyone):______
Conference sessions: Friday, May 13:
_______Saturday, May 14:_______
Friday Night Dinner:____________
Do you need sign language
interpretation services or other special services? If so, please
specify: ______________________________________________
Note: Availability of
interpretation services is contingent upon pre-registration and
budget constraints.
How did you hear about the LISO
Conference?___________________________
______________________________________________________________
Mail completed form and check made
out to "OSL LISO Conference" to:
Valerie
Sultan, LISO Treasurer
Department of Linguistics
3607 South Hall
UCSB,
Santa Barbara, CA 93106-3100 |