Registration Form

REGISTRATION FORM

Women, Religion, and the Atlantic World (1600-1800)

April 1-2, 2005– at the Clark Library

Registration Deadline: March 18
Registration fees: UC faculty & staff: $15; 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.
*Students should enclose a photocopy of their current ID with the registration form.
Fees are not refundable.
Lunch (Saturday only) and other refreshments are provided.
Papers for this conference will be posted on the Center’s website (http://www.humnet.ucla.edu/c1718cs/progwomenreligion.htm) as they are received, and will remain on line for two weeks after the conference. Registrants who indicate that they do not have access to the Internet will receive hard copies.

Name _________________________________________________________________

Address________________________________________________________________

City. State, Zip Code_____________________________________________________

Phone number __________________________________________________________

Internet Access? ________________________________________________________

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

[Campus mail code: 140403]

View the program for Women, Religion, and the Atlantic World (1600-1800)
Return to the Calendar of Events

REGISTRATION FORM

Women, Religion, and the Atlantic World (1600-1800)

April 1-2, 2005– at the Clark Library

Name _________________________________________________________________

Address________________________________________________________________

City. State, Zip Code_____________________________________________________

Phone number __________________________________________________________

Internet Access? ________________________________________________________

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 Women, Religion, and the Atlantic World (1600-1800) 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 Women, Religion, and the Atlantic World (1600-1800)
Return to the Calendar of Events