MAAE Arts Front and Center Forum, 2008
April 4,2008

Registration Form

Please tab between fields or click desired field with mouse. Do not hit "enter" because the form will attempt to "submit". When form is complete, click "submit" at end of form.

Registration is not complete until fees have been paid. Please mail checks to:

Mississippi Alliance for Arts Education
 101 Carrie Road, Hattiesburg, Mississippi  39402
Phone: (601) 268-6996     Fax: (601) 296-9929
Email: Lola.Norris@usm.edu

Registration fees:

All items marked with an asterisk (*) are required fields.

First Name*     Middle Initial     Last Name*

Address*    

City*    State*   Zip*

Phone                  Fax 

Email Address*

Name of organization (if applicable)       Category/Type

Is this your first MAAE Forum?
Yes    No

Are you a member of the MAAE
Yes    No

Registration is due by March 28, 2008
Registration is not complete until fees have been paid