Budapest 2003 Registration Form

Registration

Central Europe & the Mediterranean

Budapest, Hungary, May 28-May 31, 2003

1. You must be a member of the Mediterranean Studies Association for 2003. Dues are $40. Dues for Editorial Board members are at the reduced rate of $30. If you are not a member for 2003, please pay your dues as part of the registration process below.
2. Fill out the registration information below. Indicate any optional expenses such as the Wednesday excursion. Registration fees are non-refundable. Please note if you require audio/visual equipment.
3. If you wish to participate in the post-congress tour to Brno and Prague please use the separate registration form. You are urged to book early. Note: A deposit is required.

Name:
Mailing Address:
Institutional Affiliation:
Home Phone: Work Phone:
E-Mail: Fax:

Paper Title (if giving a paper):
Session Title (if chair or commentator):
If you need audio/visual equipment, please specify:

FEES

(select one, if applicable)

$40	MSA dues, regular membership for 2003
$30	MSA dues, Editorial Board membership for 2003

(select one)

$85	Congress registration before February 1, 2003
$110	Congress registration after February 1, 2003
$135	Congress registration on site
$50	Congress registration before February 1, 2003, students or retired scholars
$75	Congress registration after February 1, 2003, students or retired scholars
$100	Congress registration on site, students or retired scholars

Number of guest/spouse registrations at $40 each.
Number of day excursion tickets (Wednesday, May 28) to the Angevin-Renaissance castle of Visegrad at $50 each (lunch in the Royal Palace included).

TOTAL to be charged to credit card:

Credit Card information (MasterCard and VISA only)

MasterCard
VISA
Credit Card number:
Expiration date MM/YY:
Name on card:

Special instructions, etc.:

Please press the Submit button to send your registration to MSA Headquarters. You will receive an acknowledgment by e-mail within one week and a receipt by regular mail.