Registration Form

REGISTRATION FORM

The Self-Perception of Early Modern “Capitalists”

January 19-20 , 2007– at the Clark Library

Registration Deadline: January 8, 2007
Registration fees: UC faculty & staff, students with ID: no charge*; others: $25.
Please be aware that space at the Clark is limited and that registration closes when capacity is reached.
Fees are not refundable and apply to full or partial attendance.
Lunch and other refreshments are provided to all registrants.

Name _________________________________________________________________

Address________________________________________________________________

City. State, Zip Code_____________________________________________________

Phone number __________________________________________________________

Email address _________________________________________________________

UC status, UC department ________________________________________________

Number of persons _ Total Enclosed ____

Check here if you do not have Internet access and papers will be mailed to you as available: _____

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

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

[Campus mail code: 140403]

View the program for The Self-Perception of Early Modern “Capitalists”
Return to the Calendar of Events

REGISTRATION FORM

The Self-Perception of Early Modern “Capitalists”

January 19-20 , 2007– at the Clark Library

Name _________________________________________________________________

Address________________________________________________________________

City. State, Zip Code_____________________________________________________

Phone number __________________________________________________________

Email address _________________________________________________________

UC status, UC department ________________________________________________

Number of persons ___________________ Total Enclosed ______________________

Check here if you do not have Internet access and papers will be mailed to you as available: _____

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 The Self-Perception of Early Modern “Capitalists” Return to the Calendar of Events

Number of persons _ Total Enclosed ____

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

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

[Campus mail code: 140403]

View the program for The Self-Perception of Early Modern “Capitalists”
Return to the Calendar of Events