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WPA Student Summit 2003 registration

Please register in advance

Please print clearly.


NAME___________________________________________     Grade _______

Address ___________________________________________________

City, State, Zip __________________________________________________

Phone ________________ E-mail __________________________________

School __________________________________________

Registration:  $ 20.00
Extra luncheon tickets (___) @ $15 ea.   $______
Total enclosed:  $______

Please send registration form, poem and check so they are received by April 5, 2003. Students should include an original poem for the critique workshop. S tudents who register after April 5 should bring 20 copies of their poem with them.

Enclose $20 check or money order to WPA and mail to:

WPA Student Summit
721 Schooner Court
Moses Lake, WA 98837

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