2013 Shakespeare Theatre Association Conference Order Form

Conference Registration / $200 This fee is the required registration fee for the conference (January 9-12). Quantity:
Pre-Conference Registration / $60 This fee is the additional registration fee for the optional pre-conference (January 7-9). Quantity:
Grand Total:	$

Your Information

First Name

M.I.

Last Name

Title

Theatre/Organization

Address

City

State/Province

Zip Code/Postal Code

Country

Email Address

Phone Number

If your purchase includes registrations for other individuals at your theatre in addition to yourself, please list their names, titles, email addresses and phone numbers below.

If you or members of your group have any dietary needs or preferences, please list their names and the information below.

For security, when you proceed to the payment screen, you will be asked to enter cardholder information separately. Thanks for your patience.