Community Media Connections: Linking with the News

Sponsored by the Pew Center and the Maynard Institute for Journalism Education
January 11-13, 2002
San Francisco, CA

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:________________________________________________

* The Pew Center will cover the cost of a hotel room for the nights of January 11 and 12, as well as most meals and workshop supplies.

* You are responsible for covering transportation costs.

FRIDAY NIGHT:

_____ I will be attending the reception and dinner Friday at 6 p.m.

_____ I will not be attending the reception and dinner Friday at 6 p.m.

HOTEL ARRANGEMENTS:

_____ I am local to the San Francisco area and do not need a hotel room.

_____ I need a hotel room for both Friday (1/11) and Saturday (1/12).

_____ I need a hotel room for just Friday (1/11).

_____ I need a hotel room for just Saturday (1/12).

Registration Fee: $35

Please make check out to: Pew Center for Civic Journalism

Mail check to the: Pew Center for Civic Journalism
1101 Connecticut Ave., NW, Suite 420
Washington, DC 20036-4326

Questions?
Call: 202-331-3200
E-mail: news@pccj.org