|
Yes, I want to join my fellow women playwrights,
directors, scholars and other allied theater workers to create an international
network and dialogue through the International Women Playwrights Conference.
In exchange for membership dues, I will receive a news bulletin twice
a year, a 20% discount on the Year 2000 conference, the right to nominate
representatives to the International Advisory Committee, and I will be
listed as a charter member of the organization. |
| |
|
| |
Note:
This is not an online form. When it is filled out, print it out using
your browser's print command and return to:
Women Playwrights International
c/o R. Uno
New WORLD Theater
Box 31810
University of Massachusetts
Amherst, MA 01003 USA
or e-mail: uno@theater.umass.edu
or fax: 413 545 1972
|
| |
|
| |
Biographical
Information |
| |
|
|
Name:
|
|
| Address: |
|
| |
|
| |
|
| Country: |
|
|
Telephone:
|
|
| Fax: |
|
| E-mail: |
|
| |
|
| |
Membership
Information |
| |
|
| Membership
Categories:
|
If Institution, under what name?
Please
note: Only one conference reduction per Institutional membership.
|
|
|
Enclosed
is my additional donation of
($US) which will help us outreach to women in underrepresented geographical
regions. |
| |
|
| |
Transaction
Information |
|
|
|
| Payment
by Check or International Money: |
Total
Enclosed:
Please make checks payable to "International Women" |
| |
|
| Payment
by Credit Card: |
Card
Type:
|
| |
Card
Number:
|
| |
Expiration
Date:
|
| |
Total:
*Please note that the charge will appear as "Fine Arts Center/UMASS."
|
| |
|