EmailMe Form - ANAWME Summer Conference 2012

Name *
Email *
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone
### - ### - ####
School affiliation (if any)
Choose your conference location *
San Diego, CA, July 2 - 6, 2012
Louisville, KY, July 16 - 20, 2012
Payment confirmation *
I understand that my registration is not confirmed until payment is received through PayPal.
Member Discount *
I am a current ANAWME member ($30 discount)
I am not a member.
ANAWME membership information at waldorfmusic.org/join.html
Date of Registration *
MM / DD / YYYY
10% discount for registrations before March 1, 2012.