Society of Composers, Inc.

Region VI Conference

February 13-15, 2003

Department of Music

Henderson State University

Registration

Name: ________________________________________________

Address: ________________________________________________

________________________________________________

Phone: ____________________________

E-mail: ____________________________

Conference Fees

Due by January 17, 2003

(Add $5 to each after 01.17.03.)

Full Member Participant: $40 ________

Student Member Participant: $30 ________

Full Member Non-Participant: $20 ________

Student Member Non-Participant: $10 ________

Compact Disc Recording: $10 ________

Airport Shuttle Service: $20 ________

Total: ________

Please make checks payable to HSU Friends of Music.

Mail to: Phillip Schroeder

Department of Music

Box 7671

Henderson State University

Arkadelphia, AR 71999-7671