Summer Literacy Institute Registration Request Form
July 10-13, 2017 at the Hamline University Saint Paul Campus.

This form is only a request for registration. Registration is not official until you have received confirmation from the Office of Registration and Records. Please allow at least three (3) business days for a reply.

Email address
Hamline ID (if known)
Your answer
First Name
Your answer
Last Name
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Phone Number
Your answer
Date of Birth (month/day/year)
Your answer
Gender
Please select ONE of the following options:
* Once the conference has begun, students will NOT be allowed to change course options between credit and non-credit bearing.

** A $50 Early Bird Discount will be given to registrations RECEIVED on or before June 19, 2017 making the rates $495 for the conference only option, and $645 for credit bearing option.

Payment Options
Electronic payment options:
1. ACH E-check payment for no fee - you will need your bank routing and account numbers.
2. Credit card payments via MasterCard, Visa, Discover, or American Express with a 2.75% convenience fee.

Please see hamline.edu/billing for more information.

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