Registration Form

Modern Greek Studies Association 30th Anniversary Symposium 1999 November 4-7, 1999
Registration Form (Please print clearly)
Name: _____________________________________________________________________
Name on Badge: _____________________________________________________________
Department/Affiliation: ________________________________________________________
Address: ___________________________________________________________________
City: ____________________________________________ State: _____________________
Country: _________________________________________ Zip: ______________________
Email Address: ______________________________________________________________
Fax: _______________________________________________________________________

Registration

Symposium Registration

___ MGSA Member-$55

___ Non-MGSA Member-$100

(includes 1 year MGSA membership)
___Student-$20

Single Day Registration-$15/day-Indicate day(s)

___November 4

___November 5

___November 6

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: (Please indicate method of payment)

___Check or Money Order (US Banks only) must be in US Dollars. Make payable to Princeton University
___Credit Card. Only Visa and MasterCard are accepted. No American Express

Card Number: ___________________________________ Expiration Date:_______________

Name as it appears on card - PLEASE PRINT ______________________________________

Signature ___________________________________________________________________

Amount to be charged:$________________________________________________________

Please print and mail this registration form and full payment to:
MGSA Symposium
Conference Services
Princeton University
71 University Place
Princeton, NJ 08540