CONFERENCE REGISTRATION FORM Virgin Islands Writing Project 4th. Literacy Conference UVI Great Hall, November 1, 2011 8:30 a.m. to 3:00 p.m. Theme: Literacy for All Times Please fill in the appropriate details for the Conference. Name .......... .......................................................................Affiliation/School:......................................... Mailing Address: ............................................................................................................................................ ......................................................................................................................................................................... Phone: ( ) ............................................. Email ................................................................................. REGISTRATION COST: $30.00 LATE REGISTRATION COST: $50.00 There’s a special rate of $20.00 for students. Note:  Registration fee includes lunch.  No refunds will be given for cancellations.  Make checks payable to Cash or Valerie Combie.  Late Registration will be conducted Oct. 25 - Oct. 28 Form of Payment: Cash ( ) Check ( ) Check # ________ Payment Received by: __________________________ Date: ______________________________________ Registration forms and payment may be submitted to any of the following: Fenella Cooper Charlotte Amalie High School, St. Thomas Nancy Laguna-Luque Charlotte Amalie High School, St. Thomas Elizabeth Beck CTEC, St. Croix Sharon Charles Lew Muckle Elementary School, St. Croix Veronica Prescott Juanita Gardine Elementary School, St. Croix Valerie Combie UVI, RR1, 10,000, Kingshill, St. Croix, VI 00850-9781 Tel: 692-4126