REGISTRATION FORM

“Poetry Afternoons at the Clark”
presents

English(ed) Verse: Poetry and Translation

February 9th, 2008, 2pm – at the Clark Library

Registration deadline— February 4th, 2008
Registration fees— $5 per person

Name _________________________________________________________________

Address________________________________________________________________

City. State, Zip Code_____________________________________________________

Phone number __________________________________________________________

Number of persons ___________________

Total Enclosed ($5 per person)______________________

 

Submit your completed form, along with your check (payable to The UC Regents) and a stamped, self-addressed envelope, to the

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

[Campus mail code: 140403]

Inquiries: 310-206-8552
c1718cs@humnet.ucla.edu


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