Name:__________________________________________
 

Fri. Nov. 5 Dinner and Keynote Address($30/$20 student):______(# of people) $______

Sat. Nov. 6 Banquet and Poetry Reading($40/$25 student):______(# of people) $______

   Total:    $______

Payment Type:  Check (US Banks only):_____ Credit Card (VISA or Master Card):_____

Card Number:  ________-________-________ Expiration Date:  _____/_____
 

Name as it appears on Card:  ________________________________________________
Please print

Signature:  ______________________________________________________________
 

Total Amount to be charged:  _______________________________________________
 

Please fax, e-mail or mail this form and full payment by October 25 to guarantee meal reservations to:

MGSA Symposium
Conference Services
Princeton University
71 University Place
Princeton, NJ  08540,  USA
Fax:  (609) 258-4656
Tel:  (609) 258-6117
Email:  hellenic@princeton.edu
http://www.princeton.edu/~cvcs
For Information:
Program in Hellenic Studies
Princeton University, 58 Prospect Ave.
Princeton, NJ  08544,  USA
Tel:  (609) 258-3339
Fax:  (609) 258-2137
http://www.princeton.edu/~hellenic