CONFERENCE REGISTRATION

Name:_____________________________________
Address:____________________________________
City: ________________  State: ___  Zip: ________
Phone: ______________  (W)  ______________  (H)
E-Mail: ____________________________________

Individual Rates:
o CTAM Voting Member ($20)                    $ _____
o Non-CTAM Member ($30)                          _____

Group Rates for CTAM Member Facilities:
o  ____ people @ $25 per person                 _____
 
 Please list names of additional participants:
 1. _________________________________
 2. _________________________________
 3. _________________________________
 4. _________________________________

o I am not currently a voting member of CTAM, but would like to join by paying the annual dues and register for the conference at the CTAM member price.

o Voting (Facility) Membership ($50.00)      $ _____
o Non-Voting (Ind.) Membership ($37.50)       _____

   Total enclosed (by check to CTAM)          $ _____

INDICATE CHOICE OF AFTERNOON
WORKSHOPS BELOW

2:15 to 3:45 PM:

    Self    1     2     3     4
A   �     � � � � Labor Issue Programming
B   �     � � � � Field Production Trucks
C   �     � � � � Community Radio
D   �     � � � � Spring Pt. Media Ctr. Tour

4:00 PM to 5:30 PM
    Self    1     2     3     4
A   �     � � � � Better Audio For Video�
B   �     � � � � Student-run Shows
C   �     � � � � Underwriting