Name / title of delegate: ____________________________________________

Institution: ______________________________________________________

Street address: ___________________________________________________

City: __________________________________   State/Country: ____________

Postal code:_________________  Business phone:  ______________________

E-mail: __________________________________________________________

Primary area of work and scholarship __________________________________

________________________________________________________________


PAYMENT INFORMATION

Registration for the Forum is $235 (U.S. currency).   

Payment may be made by personal check, if using a bank in the United States, or through Money Gram and Western Union.  No other payment options are available at this time. We are sorry, but it will not be possible to register on site. Checks should be made out to "Bruce C. Swaffield - Worldwide Forum."

General registration for attendees only will remain open until 30 October 2009.  Please send all checks or money orders to:

Dr. Bruce C. Swaffield
School of Communication and the Arts
Regent University
1000 Regent University Drive
Virginia Beach, VA 23464
Phone: 757.226.4732
Fax: 757.226.4279
E-mail: brucswa@regent.edu

For more details or for questions, please contact info@theworldwideforum.org.