UNIVERSITY OF SOUTH CAROLINA UPSTATE

ANNUAL REFLECTIONS WORKSHOP REGISTRATION FORM

CLC Ballroom, February 18th, 2019
** There is a Registration Fee for this event! **

About You
First Name: *
Last Name: *
Home Phone:
Cell Phone: *
E-mail Address: *
Language(s) you are studying or teaching: *
School Information
School Name: *
School System:
School Phone:
School Address: *
City: *
State/Province: *
Zip: *
Registration Payment
** REGISTRATION FEE INCLUDES CONTINENTAL BREAKFAST AND LUNCH **

Registration Fees are due postmarked Friday, December 18th, 2018 or will be accepted as "late registrations". No refunds will be given after Monday, January 19th, 2019.
Make a registration choice: *
Please submit a personal check, institution check, or money order made payable to:

USC Upstate Reflections 2019

Mailing Address:
Department of Languages, Literature, and Composition
Humanities and Performing Arts Center, Room 222
800 University Way
Spartanburg, SC 29303
Is this your first time attending the Annual Reflections Workshop? *
Would you like to have the vegetarian lunch option? *
How did you hear about Reflections 2019? *

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© USCUPSTATE 2015

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1.0.0 – November 16, 2015

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