|
Peace,
Justice & Media Conference Registration Form
| Please
PRINT this out, fill in and send to: |
PJM
Conference 2003
PO Box 10984, Eugene, OR 97401
|
Please
include your check made out to "PJM Conference"
or indicate below your Credit Card Number and Expiration Date
| Name |
| Address |
| City |
State |
Zip
Code |
| Phone
Number (area code 1st) |
| E-mail
address |
| Credit
Card Number |
| Expiration
Date |
Credit
Card (Visa, MC) |
|
Event(s)
- please put check in box next to what you desire:
|
|
Jim
Hightower
-
Opening keynote speaker: Thurs. Oct. 9 @ 7:30
pm
@ Lane Community College, Building 19
Tickets: $7 advance, $10 @ door |
|
|
“Crash
Course on Media Literacy” w/
the NW Media Literacy Center
Friday, Oct. 10 fr. 1:30 - 4:30 pm & Saturday,
Oct. 11 from 1:30 - 4:30 pm
Cost: sliding scale $15 to $25 |
|
|
“How
Media Really Work and How to Work the Media”
w/ Paul Richards
Oct. 11: 9:00 am to 12 pm & 1:30 to 4:30 pm
Cost: sliding scale $30 to $45 |
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I'm
NOT charging my fee, but instead enclosing a check
for $
Amount
in addition included as donation: $
|
|
|
Yes,
contact me! I'd LOVE to volunteer
to help with this conference! |
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|
