Use this form to register for the conference

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* 1. First Name:

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* 2. Last Name:

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* 3. Your preferred term of address  (Professor, Doctor, Mr., Mrs., Ms., etc): 

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* 4. At what email address would you like to be contacted?

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* 5. Please verify your email address. 

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* 6. Institutional affiliation:

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* 7. Your title at your institution:

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* 8. Registration category:

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* 9. Method of payment:

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* 10. Dartmouth ID# required for free registration (type "N/A" if not applicable)

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* 11. Check # (type "N/A" if not applicable):

Mail checks to:

Conference
Institute for Writing and Rhetoric
Dartmouth College

HB 6250 Room 204 Baker Library
25 North Main Street
Hanover, NH 03755

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