2008 Pre-Registration and Membership Form

PRE-REGISTRATION AND MEMBERSHIP FORM
2008 M/MLA ANNUAL CONVENTION
November 13-16, The Marriott Minneapolis City Center Hotel
IMPORTANT: Please print clearly. Your meeting badge will be created from the information you supply. If your institution has multiple campuses, please include the campus.

Name(s) (last, first): _________________________________________________________________

Institution: ____________________________________________ Rank: ______________________

Fall mailing address: ________________________________________________________________
(Please indicate whether home or office. Your convention program will be sent here.)

E-mail: ____________________________________________ Phone: _________________________
(Your receipt will be sent here.)
Do you have a book (note title, publisher, year) from 2006 or thereafter for the convention book exhibit?

________________________________________________________________________________

Have you won a teaching award since 2005 for which you could be honored at the convention?

________________________________________________________________________________

MEMBERSHIP FEES (circle one)

Full professor, administrator: 1-year ($40), 2-year ($75), 3-year ($105)
Associate professor: 1-year ($35), 2-year ($65), 3-year ($90)
Assistant professor, school teacher: 1-year ($30), 2-year ($55), 3-year ($75)
Adjunct, part-time: 1-year ($25)
Student, retired, or unemployed: 1-year ($20)
Joint (at same address, one copy of publications): 1-year ($60), 2-year ($110), 3-year ($150)
Supporting: 1-year ($50)
Sustaining: 1-year ($100)

REGISTRATION FEES (circle one)

Regular Registration (includes up to 12 complimentary papers): $60

Special Registration (includes 0 papers; for students, part-time, unemployed, or retired members only; papers may be purchased only at the meeting): $30

Mail this form, along with payment (a check or money order in U.S. funds), to: Midwest Modern Language Association, 302 EPB, Univ. of Iowa, Iowa City, IA 52242-1408. Those who choose a Regular Registration will be able to select papers in September when the convention program is sent.

2008 Convention Participants: The pre-registration form and fees must be postmarked by June 1, 2008. The registration fee is non-refundable. Participants who do not pay the convention registration fee and membership dues will be deleted from the printed convention program.

Office Use Only: Rec'd _______ Amt $ _______ Check # _______ D'base _______ Rec't _______ Dep _______