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  • Early bird (effective until October 31, 2001):
    NALIP Members $100 / Affiliate Member $150 / Non-members $225
  • Pre-registration (November 1 to December 5, 2001):
    Members $175 / Affiliate Member $225 / Non-members $275
  • On site:
    Members $225 / Affiliate Member $250 / Non-members $300
  • One day:
    Members $90 / Affiliate Member $100 / Non-members $125
  • Students (with copy of valid id or letter from teaching organization):
    Members $60 / Affiliate Member $75 / Non-members $95.

The registration fee includes conference handout materials, opening reception, continental breakfasts, working lunches, all workshops, access to hands-on media lab, video screenings, and Friday night Awards Gala dinner.
Name:
Company (if applicable):
Address:
City: State: ZIP:
Phone: Fax:
Email:
Web site:
Payment Method: Check / Visa* / Mastercard* / American Express*
Credit Card Number:
Expiration date:
Signature (required for credit card):
Date:
Check #: (payable to National Council de la Raza)
Job title:
Industry sector:
Will you be staying at the Hyatt Regency La Jolla ($149 per night)? ____
Single or double? ____________
_____ Yes, I want to be considered for a travel/hotel scholarship (Applications available on-line at nalip.org)
_____ Yes, I want to enter my work to be screened at the nightly "Video Slam" (entrants will be randomly chosen on a nightly basis).

Title ___________________________

Length ____________________________.
_____ Yes, I want to participate in one of the pitch sessions (all pitches must be registered in advance with the Writer's Guild of America).
Dietary needs ( vegetarian, Kosher, other ________________ )
Sign me up as a member of the National Association of Latino Independent Producers! Please check the appropriate amount below and enclose a separate check made out to National Council de la Raza.

________ Individual: $40

______ __Student: $10

________ Institution / Organization: $150
Please complete and mail this form with payment to:

Media Arts Center San Diego Inc.
Attn: NALIP 2001 Conference
2039 29th Street
San Diego, CA 92104

tel: 619.230.1938, fax.619.234.9722
You can also register for the 2001 conference on-line. Click here
*There is an additional service charge if you wish to register with a credit card.