Registration

Genoa, Columbus, & the Mediterranean

Universit
à di Genova, Facoltà di Lettere e Filosofia

Genoa, Italy
May 24-27, 2006



1. You must be a member of the Mediterranean Studies Association for 2006. Dues are $50. (Dues for Editorial Board members are at the reduced rate of $40.) If you are NOT a member for 2006, please pay your dues as part of the registration process below.
2. Fill out the registration information below. Please note if you require audio/visual equipment. Registration fees are non-refundable.
3. Indicate any optional expenses such as the Wednesday excursion or the post-Congress tour.
All data entered on this form is encrypted in accordance with the US Federal Information Processing Standard (FIPS) 197 and Advanced Encryption Standard (AES) using a 128-bit key. Statement on Privacy and Security.

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)

Select only one of the following: Standard or Student or Retired Scholar

Standard Registration (select one)
(no longer available)

Student Registration (select one) (must provide proof of student status: fax or e-mail image of student ID)
(no longer available)

Retired Scholar Registration (select one)
(no longer available)

Number of guest/spouse registrations at $40 each. The $40 fee is for a companion who will not be attending the sessions but who will be attending the evening social events and/or a tour (for which tickets are required). These guests do not receive a name badge or registration packet. They do receive tickets in their companion's full registration packet.


Select tour.


Number of tickets (Wednesday, May 24) for tour of historical Genoa, $42 each.



TOTAL to be charged to credit card:


Credit Card information (MasterCard and VISA only)



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 a receipt by e-mail.