REGISTRATION FORM

Civic Reporting: Journalism for a New America

Sponsored by the Pew Center and RTNDF
June 1-3, 2001
The Omni Severin Hotel, Indianapolis

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
Attn: Avni Patel
1000 Connecticut Ave., NW, Suite 615
Washington, DC 20036

Questions?
Call: 202-331-3200 (The Pew Center) or 202-467-5215 (Avni Patel, RTNDF)
E-mail: news@pccj.org or avnip@rtndf.org



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