we will NO LONGER accept payments via US mail at this late date. Register online using PAY PAL or at the door.
Registration Form (move the mouse over this to see a tip on "how to print the form"):
First Name:___________________________ Last Name_____________________________________
Address:_____________________________________________________________________________
City: _____________________________________ State: _______ Zip Code: _____________________
E-Mail: ______________________________________________________________________________
Affiliation: (Institution/Company:_________________________________________________________
____________________________________________________________________________________
Please select your conference registration type:
| Membership Type | Description | Select |
| Individual Conference Registration - $250 |
Allows one individual to attend the 24th BTN conference events. July 30 to Aug 2, 2010. Also includes one (1) year individual BTN membership for the person attending the conference. | |
| Organizational Conference Registration - $400 |
Allows two (2) individuals from an organization to attend conference events. Also includes one (1) year membership for that organization in the Black Theatre Network. |
_____ |
| Retired Professional Conference Registration - $125 |
Allows one retired professional to attend events at BTN 24th Annual Conference. Also includes one (1) year retired membership for the person attending the conference. | |
| Student Conference Registration - $100 |
Allows one student to attend conference envents at BTN 24th Annual Conference. Also includes one (1) year membership for the student attending the conference. | |
| One Day Conference Registration - $100 |
Allows attendance to 24 th Annual Conference events during a specified day. | |
|
Super Saver |
Conference registration & membership for 4 students, 1 advisor. Allows attendance to Conference events by one (1) advisor and four (4) students. Includes one year Individual membership for the advisor and student memberships for the four students. |
Amount enclosed: $ _______________ - (Make checks payable to Black Theatre Network)
Please complete the registration form and mail with check to:
Renee Charlow, Business Manager
Black Theatre Network
8306 Bluebird Way #5
Lorton, Virginia 22079
