REGISTRATION FORM
The International Albert Schweitzer Conference

Registration is not needed for the three lectures on Friday. These are open to the public at no charge.
Tickets will be available for those wishing to attend only specific events:

Saturday Luncheon $25.00
Saturday Evening Performance $15.00
Sunday Matinee Concert $15.00
Symphony Premiere $25.00

Please reserve registration for the Albert Schweitzer Conference:

Date: _____________, 2000

Name: ________________________________________________

Organization : __________________________________________

Address: ________________________________________________________________________

Postal Code: _____________ State or Country: ________________________________________

Telephone: _______________Fax: ____________________ E-mail: ________________________

Web Site: ______________________________________________

(If you have or have had any affiliation with Dr. Schweitzer and/or the Hospital in Lambaréné or Haiti, please
include information.)

INCLUSIVE FEE: Lectures; conference sessions; luncheon; receptions; entertainment; transportation;
"Words of Albert Schweitzer and the Music of Bach"; Sunday matinee concert; and World Premiere of Michael
Rose's Symphony, "Paths of Peace."

$145.00 per person (U.S. funds)

Total $ _________
Method of Payment

Check (enclosed - payable to Tennessee Players, Inc.)
MasterCard VISA American Express

To be completed by credit card users:

Credit Card Number:________________________________ Expiration Date:________________

Signature: _________________________________________

Send this registration form to:
Tennessee Players, Inc. 304 West Due West Avenue Madison, TN 37115-4511
Conference Coordinator: Debbie Wilson
Phone/fax (615) 868-3738 • E-mail: symposium2000@webtv.net