REGISTRATION FORM

“Farther Along”: A Conference on the Southern Gospel Convention-Singing Tradition April 4-5, 2008 Tom H. Jackson Building Middle Tennessee State University, Murfreesboro, TN

Name (as you would like it to appear on your name badge)

Institutional Affiliation (if applicable)

Address

City, State, Zip

Phone E-mail

FEES: (please check one)

$60 Early Registration (postmarked by March 15, 2008) $75 Regular Registration (postmarked after March 15, 2008) $30 Early Student Registration (postmarked by March 15, 2008) $45 Regular Student Registration (postmarked after March 15, 2008)

Institution Student ID #

Please submit payment by a check made payable to Middle Tennessee State University

Mail check and registration form to:

Kym Stricklin Center for Popular Music MTSU P.O. Box 41 Murfreesboro, TN 37132