REGISTRATION FORM

Spaces of the Self in Early Modern Culture
Part 4 – Spaces of Sacrality

March 14-15 , 2008

At the William Andrews Clark Memorial Library

Located at 2520 Cimarron Street, in the West Adams district of Los Angeles.

Registration Deadline: March 7th
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. No confirmation will be sent, but we will contact you if we receive your registration after we reach capacity.
Fees are not refundable and apply to full or partial attendance.
Lunch and other refreshments are provided to all registrants.
Please call a week ahead to arrange for wheelchair access.

Name _________________________________________________________________

Address________________________________________________________________

City. State, Zip Code_____________________________________________________

Phone number __________________________________________________________

Email address _________________________________________________________

UC status, UC department ________________________________________________

Number of persons ___________________

Total Enclosed (US Dollars)______________________

 

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]

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


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