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REGISTRATION FORM Civic Reporting: Journalism for a New America
Sponsored by the Pew Center and RTNDF
Registration is limited. Sign up today!
Please fax form to the Pew Center: 202-347-6440
Name:__________________________________________________
Title:_________________________________________________
Organization:__________________________________________
Address:_______________________________________________
_______________________________________________________
City:_____________________ State:_____ Zip:____________
Phone:_________________________________________________
Fax:___________________________________________________
E-mail:________________________________________________
* Registration covers the cost of a hotel room for the nights of June 1 and 2, as well as most meals and all workshop materials.
* You are responsible for covering transportation costs.
_____ I am local to the Indianapolis area and do not need a hotel room.
_____ I need a hotel room for both Friday (6/1) and Saturday (6/2).
_____ I need a hotel room for just Friday (6/1).
_____ I need a hotel room for just Saturday (6/2).
Registration Fee: $50 ($40 for RTNDA Members)
Please make check out to: RTNDF
Mail check to: RTNDF
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