REGISTRATION FORM

Communication and Dissimulation in Seventeenth-Century Europe

February 6-7, 2004 – at the Clark Library

Registration Deadline: January 30
Registration fees: UC faculty & staff: $15; students with ID: no charge*; others: $25.
     *Students should enclose a photocopy of their current id with the registration form. 
Registration fees cover lunches and refreshments. The fees are not refundable.

Name _________________________________________________________________

Address ________________________________________________________________

_______________________________________________________________________

Phone number __________________________________________________________

Email address ___________________________________________________________

UC status, UC department _________________________________________________

Number of persons ___________________ Total Enclosed ______________________

 

Send this form, along with your check (payable to UC Regents), to the

UCLA Center for 17th- & 18th-Century Studies
310 Royce Hall
Box 951404
Los Angeles, California 90095-1404

[Campus mail code: 140403]

View the program for Communication and Dissimulation in Seventeenth-Century Europe
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