KCACTF Festival XXXVI

R e g i s t r a t i o n F o r m

February 10 - 15, 2004 at CSU San Bernardino

Contact Information

Festival Participation

(Check all that apply)

School/Organization
Name
Student, Faculty or Other
Mailing Address
Address (cont.)
City
State
Zip Code
Day Phone
E-mail
At what hotel are you staying?

Invitational Scenes
Irene Ryan Nominee
Student Design Competition
Critics Workshop
Respondents Workshop
Workshop Facilitator
Nominated Show Participant
Irene Ryan Partner
New Play Development Workshop Ten-Minute Play Participant
CETA Auditions & Interviews
Other

Registration Fee Information (Check all that apply )

Early Registration ( must be postmarked by January 14th )		$50.00
Pre Registration ( must be postmarked by February 2nd )		$55.00
On Site Registration ( payment made at festival )		$57.00
Awards Brunch		$15.00
Total Amount Enclosed	$

Enclosed is my Check

Please charge my Visa or my MasterCard

(Please add a 3% Credit Card Processing Fee)

Credit Card#: ---

Expiration Date

DO NOT MAIL OR FAX REGISTRATIONS AFTER FEBRUARY 2nd -- REGISTER ON SITE

Payment must accompany registration and is non-refundable

Make checks payable to

( Fed. tax ID# 50245)

All returned checks are subject to a $15.00 fee.

Participation in Region VIII will be
restricted until returned checks and penalties are paid.

KCACTF 2004

Credit Card Orders

may be FAXed to