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Adviser Name
School
Adviser's Summer Address
City, State, Zip
Summer Phone
Summer E-Mail

Class Enrollment Lab Groups

A- Adviser Development B- Beginning Staffer BU- Business Management C- Convergent Media E- Editorial Leadership EX - Experienced Staffer	I - InDesign MS- Middle School N - Newspaper P - Photography PS - PhotoShop SW - StudioWorks (Wednesday Session)

	Name	Lab Group	Rate	Male/Female	Preferred Roommate (2 people per room)	Shoe Size
1 .		Choose one A B BU C E EX I MS N P PS SW	Choose one Commuter $225 Staying at PBAU $325> Studio Works Only $100>	M F
2 .		Choose one A B BU C E EX I MS N P PS SW	Choose one Commuter $225 Staying at PBAU $325> Studio Works Only $100>	M F
3 .		Choose one A B BU C E EX I MS N P PS SW	Choose one Commuter $225 Staying at PBAU $325> Studio Works Only $100>	M F
4 .		Choose one A B BU C E EX I MS N P PS SW	Choose one Commuter $225 Staying at PBAU $325> Studio Works Only $100>	M F

• Advisers may room alone for an additional $50 as long as space permits.

Total Students Registered and Staying at PBAU @ $325

Total Commuters Registered @ $225

Total StudioWorks Only Attendees @ $100

T-Shirts	Please indicate the number of shirts needed:
Large	Extra-Large

IMPORTANT: Please make checks out to "MY* Seminar"

Send to:

MY* Seminar
Marcia Meskiel-Macy
222 Surf Road
Melbourne Beach, FL 32951

All payments MUST be received by June 1. No refunds issued for cancellations after June 30.

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