Symposium Cumanum Registration (Printable)

Symposium Cumanum Registration Form

Registration Fee (required) €60/$68
(includes buffet luncheons, snacks, tea and coffee breaks)

Other charges (not required)
Lodging (includes breakfasts and dinners) at the Villa Vergiliana
Shared room at the Villa Vergiliana €60/$68 per night; Singles €70/$79 per night
Dinner (no lodging) €20/$24

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

Name ______________________________________________________
Affiliation____________________________________________________
Mailing address_______________________________________________________
Telephone_______________________________
Emergency contact____________________________________
Email___________________________

Lodging Dates:
Tues. June 22____ Wed. June 23____ Thurs. June 24____ Fri. June 25_____      Sat. June 26____
Other Nights __________
If not staying at the Villa, which evenings will you want dinner at the Villa (22, 23, 24, 25, 26 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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