UNITY & DIVERSITY:

A North American Conference

on Buddhist Women

Registration Form

To register for the conference, please fill out this form and enclose a check payable to "Conference on Buddhist Women." Mail the form and check to:

North American Conference on Buddhist Women
c/o Professor Karen Torjesen
Director, Program in Women's Studies in Religion
Claremont Graduate University
151 East Tenth Street
Claremont, CA 91711

Last name ___________________________________________

First name___________________________________________

Title________________________________________________

Affiliation___________________________________________

Address ____________________________________________

Office phone_________________________________________

Home phone_________________________________________

E-mail address _______________________________________

Fax number _________________________________________

Preferred name (for badge)______________________________

Registration Fee ______________________________________

Please check one of the following. If you register as a Sponsor or Bodhisattva, you will help to support a conference participant who cannot afford the fee.

$65 Regular fee, paid in advance
$75 Regular fee, paid on site
$80 Sponsor
$100 Bodhisattva
$25 One-day registration

(indicate which day/s) June 3 ___ 4 ___ 5___ 6 ___ 7 ___

Room and Board

The conference will take place on the Pitzer College campus. Space is limited, and priority will be given to those registering for full room and board. If you do not pre-register for meals, you may have to dine off campus. A list of restaurants will be provided.

If you plan to sleep on campus in a dormitory, please check one of the options below.

Single room @ $16 per night
($64 total for 4 nights)

Double room @ $12.50 per night
($50 for 4 nights based on double occupancy)

Full board is $18 per day at the Pitzer College cafeteria. The total cost for all conference meals is $72.

Registration fee .$ ________

Room ............... $ ________

Meals (12).........$ ________

Total: ................$ ________

Membership in Sakyadhita

I support the goals of Sakyadhita and wish to become a member.

Enclosed are my 1998 dues.

Benefactor $50
Regular $20
Student $10

I wish to contribute to the Sakyadhita Support Fund to bring a visitor to the conference. I enclose the following donation: $ _____

Please make your check payable to "Sakyadhita."

A campus map and directions to Claremont and the conference site will be sent to pre-registrants by mail.