Registration Form

Hemispheric Institute of Performance and Politics

2nd Annual Seminar: Performance and Politics in the Americas

Hosted by: Universidad Autónoma de Nuevo León y

Consejo para la Cultura de Nuevo León

June 14-23, 2001

 

Name:__________________________________________________________________

Mailing Address:_________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Telephone (with country and city codes if outside US):___________________________

E-mail:___________________

Would you like us to send information to your:
mailing address ____e-mail address ____

Method of Payment (registration fees are non-refundable):

For participants from the United States, Canada and Europe:

_______ I have enclosed a check or money order for $300 payable to New York University

_______ I authorize a charge of $300 to my Visa or MasterCard (circle one)

 

For participants from Latin America:

_______ I have enclosed 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