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SLAM PRE-REGISTRATION IS NOW CLOSED.
WE WILL STILL BE TAKING SIGN-UPS AT THE DOOR FRIDAY NIGHT -- THERE ARE STILL OPENINGS SO
ARRIVE EARLY AND HAVE YOUR REGISTRATION FEE IN HAND!

PRINT AND BRING THIS FORM IF POSSIBLE

THANK YOU FOR YOUR SUPPORT!

To participate in the IBWALA 2004 Spoken Word Slam hosted by "Poetri" of HBO's and Broadway's Def Poetry Jam, submit the form below online and remit $10 entry fee at the door, Aug. 13, 2004. Those who send payment in the mail (IBWALA Spoken Word Slam, POB 43576, L.A., CA 90043) will receive first-come, first served placement on the program.

  1. Please provide the following contact information:

    Name
    Pen name/Performance name
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Work Phone
    Home Phone
    FAX
    E-mail
    URL
    Age

  2. Please write a brief bio for introduction (include organizations, where performed, age, genre of spoken word, etc.):

 

	I will be submitting payment via mail		I will submit payment at the door

 

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Last modified: 03/05/04 

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