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