Symposium Cumanum Registration

Name

Affiliation

Address

Phone

Emergency Contact

Email

Lodging Dates
Wed. June 19Thurs. June 20Fri. June 21

Other Nights or, if not staying at the Villa, which evenings will you want dinner at the Villa (19, 20, 21 June)*
*The cost for those meals is $24 each.

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.