Symposium Cumanum Registration Form

Registration Fee (required) €80/$100
(includes four buffet luncheons, snacks, tea and coffee breaks)

Other charges (not required)
Lodging (includes 4 American breakfasts and 4 dinners) at the Villa Vergiliana
Shared room at the Villa Vergiliana €60/$75 per night
Dinner (no lodging) €25/$31

Checks paid in USD and addressed to “The Vergilian Society, Inc.” should be sent with completed registration form to:

T. H. M. Gellar-Goad
Dept. of Classical Languages
C308 Tribble Hall, PO Boax 7343
Winston-Salem, NC 27109

Name ______________________________________________________
Affiliation____________________________________________________
Mailing address_______________________________________________________
Telephone_______________________________
Emergency contact____________________________________
Email___________________________

Lodging Dates:
Tues. June 26____ Wed. June 27____ Thurs. June 28_____ Fri. June 29____
Other Nights __________
If not staying at the Villa, which evenings will you want dinner at the Villa (26, 27, 28, 29 June)
________________________________________________________________________

Total Number of Nights Lodging: ________
Total Cost of Lodging  _____________
Registration Fee _____________
Total Amount Enclosed _____________
Balance Due _____________

Submitters, please include the following information.

Special equipment needed (e.g. slide, digital or overhead projector) and special dietary/accommodation considerations*
* We will do our best to meet the needs of our attendees within the constraints of locale and venue.
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