Medieval and Renaissance Studies Conference
Oct 1 – 3, 2015
Registration Form for Non-Nebraska Residents
Contact Information
Title:
□ Dr. □ Mr. □ Mrs. □ Ms. □ Miss □ Prof. □ Other, specify:
First Name:
Last Name:
City:
Address:
Zip Code:
Country:
Phone:
(
)
□ work □ cellphone □ home
Type:
Email:
Would you like to be added to the UNL Medieval
and Renaissance Studies listserv?
Publicity
How did you hear about this
conference?
□ Website (Please specify):
□ Flier
□ Lincoln Journal Star calendar
□ UNL Event Calendar
□ Other (Please specify):
Registration Fees
Registration Type, check one
Fee
Before September 1
□ Faculty
□ Graduate student
□ Independent scholar
Total:
After September 1
$100
$120
$80
$100
$80
$100
Please select your preference
Friday Lunch during Plenary Lecture
Behind the Scenes and Gallery tour of International
Quilt Study Center (Thursday: tours 1:30-2:15, 2:303:15pm).
□ Vegetarian meal option
□ Regular meal option
□ Please check this box if you cannot make the first
Behind the Scenes tour due to travel plans, but would
still like to be considered for the second tour*
□ Please check this box if you do not want to go on a
Behind the Scenes and Gallery tour.
*Tour group sizes are strictly limited, so we will do our
best to include you in a tour that best fits your
schedule.
We cannot guarantee a specific meal option, or place on the tour or at the luncheon after
September 15, as we have catering orders and reservations to finalize.
For more information about these events, parking, and hotels, see the conference website
(http://www.unl.edu/medren/conference-2015).
Registration includes the Friday luncheon and Thursday & Friday receptions, a Behind the
Scenes and Gallery tour of International Quilt Study Center, a Lincoln City bus pass for
Thursday, and a folder of conference materials including a program, receipt, printed nametag,
and area maps.
Payment (only by check)
Make checks payable to: UNL Medieval and Renaissance Studies Program
Mail to:
UNL Medieval and Renaissance Studies Program
c/o Dr. Carole Levin
612 Oldfather Hall
Lincoln, NE 68588-0327