ICEHD 1
1st INTERNATIONAL CONFERENCE on ENGLISH
HISTORICAL DIALECTOLOGY
Bergamo, Italy, 4-6 September 2003
Registration form
Title, name and surname ____________________________________________________________
Affiliation
_______________________________________________________________________
Address for
correspondence_________________________________________________________
____________ ___________________________________________________________________
_______________________________________________________________________________
Tel. ________________________________ fax
________________________________________
e-mail __________________________________________________________________________
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I am planning to attend the Conference from _____________ to ___________
September 2003.
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I wish to reserve _____ place(s) for the following social events:
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Event |
When |
Cost (€) |
Total (€) |
|
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Walking tour of the Upper
Town of Bergamo |
Wed. 3 Sept. am |
10,00 (*) |
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Excursion to Cremona |
Wed. 3 Sept. pm |
30,00 (*) |
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Conference Dinner (**) |
Fri. 5 Sept. |
50,00 |
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Excursion to Lake Garda |
Sat. 6 Sept. pm |
30,00 |
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Amount to be paid at
Conference check-in (***) |
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* including entrance
fees where applicable
** please indicate dietary requirements, if any: ______________________________________________
*** We regret we are unable to accept credit card or non-euro payments.
The check-in desk will operate
at the Conference venue (via Salvecchio 19, Room 1) from 16.30 to 18.30 on Tue.
2 Sept. for participants wishing to take part in the pre-conference events. On
Thu. 4 and Fri. 5 Sept. it will operate from 8.30 to 12.30 (outside Room 3 –
same building).
My name,
affiliation and e-mail address may appear in the List of Participants
that will
be made available in the Conference pack <>
yes <> no
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I wish to receive a Certificate of Attendance
Date_______________________
Signature __________________________________
Please
return by fax to (++39) 035 246443 (Attn. Prof Marina Dossena)
not later than 10th July 2003 –
cancellations
should be notified not later than 15th August 2003.
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