Registration Form
Hemispheric Institute of Performance and Politics
1st Annual Conference: Performance and Politics in the Americas
Hosted by: Universidade do Rio de Janeiro, Rio de Janeiro, Brazil
July 7-9, 2000

Name:_______________________________________________________________________

Mailing Address:______________________________________________________________
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Telephone (with country and city codes if outside US):________________________________
E-mail:_______________________
Would you like us to send conference information to your: mailing address _____
                                                                                                 e-mail address _____
Institution or Group, if applicable:______________________________
Are you a: Student _________ Artist _________ Scholar _________ Teacher ______
Native Language:______________________
Other Languages:_____________________________________________
Native Country:_____________________________________
Research Interests/Performance Interests:_________________________________________
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Are you also submitting a paper proposal for consideration:
no____ yes (give title)___________________________________________________________

Method of Payment (registration fees are non-refundable):
______ I enclose a check or money order for $150 payable to New York University.

______ I authorize a charge of $150 to my Visa or MasterCard (circle one)

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Account Number                                                             Expiration Date
 

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Name as printed on the card                                            Signature of Cardholder
Please return this registration form, along with a check, money order, or credit card information, to:

Hemispheric Institute of Performance and Politics
Dept. of Performance Studies
Tisch School of the Arts
New York University
721 Broadway, 6th floor
New York, NY 10003