Maximum number of persons per form: 2
Admission: $25 per person
Name __________________________________________________________________________________
Address ________________________________________________________________________________
_______________________________________________________________________________________
Phone Number ____________
Number of persons (1-2) _____
Amount enclosed ($25 per person) _____
Reservations will be confirmed, or forms and checks returned by mail on October 2, 2006
Please enclose a check, payable to UC Regents, and send it together with a copy of this form and a self-addressed stamped return envelope to the
UCLA Center for 17th- & 18th-Century Studies
310 Royce Hall
Box 951404
Los Angeles, California 90095-1404[Campus mail code: 140403]