Please register by October 1, 1997.
Please print out and complete this form, then mail or fax it to the address below: By mail: Cathy Dwigans/Jan Butin The University of Kansas Division of Continiung Education Continuing Education Building Lawrence, KS 66045-2607 By telephone: (785) 864-3284 By fax: (785) 864-5074 Name_________________________________________________________ SSN__________________________________________________________ Institution__________________________________________________ Address______________________________________________________ City, State, ZIP_____________________________________________ Telephone______________________ Fax_________________________ E-mail______________________ A roster of participants, listing name, institution, address, phone, fax, and e-mail for each person,will be included in conference materials. Registration Fee _____ $60, by 10/1/97 _____ $30, Student, by 10/1/97 (enclose photocopy of student identification) _____ $10, Late fee, after 10/1/97 _____ $25, Dinner, 10/17/97 vegetarian meal _____ _____ $14, Luncheon, 10/18/97 vegetarian meal _____ _____ Total Enclosed Check payable to the University of Kansas _____ Credit Card _____ VISA _____ MasterCard_____ Expires_____ Card Number______________________________ Name of Cardholder________________________ Signature of Cardholder___________________ Send information on Lawrence hotels and airport shuttle. _____ If you will need special accommodation, please mark the space below and you will be contacted personally by a member of the Continuing Education staff. _____
Midwest Conference on British Studies
Last revised August 18, 1997
Questions or comments about this page can be sent to cewebster@kuhub.cc.ukans.edu
The University of Kansas
Division of Continuing Education
Lawrence, KS 66045-2607 USA
URL: http://www.kumc.edu/kuce/app/mbsc/mbsc_reg.html