Summer Institute in American Philosophy July 7-12, 2003 University of Oregon Registration, Banquet, and Lodging Form |
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Attendee Information (Please Print or Type)
FIRST NAME:__________________ MI:________ LAST NAME:_______________________
TITLE:____________________________________ INSTITUTION:_______________________
ADDRESS: ________________________________ PHONE: _____________________________
___________________________________________ FAX: ________________________________
CITY/STATE/ZIP: __________________________ E-MAIL:_____________________________
STATUS (please circle one): Faculty/Professor Student
Registration fees include continental breakfasts and buffet lunches each day. An optional banquet is planned for Saturday evening. All meetings and meals will be held in the Knight Law Center on the University of Oregon campus.
Registration |
Full Registration Postmarked by May 31: $125 Students $_____________ $250 Faculty $_____________ |
Per-Day Registration Postmarked by May 31: $25/day Students $______________ $50/day Faculty $______________ |
Full Registration $150 Students $_____________ $275 Faculty $_____________ |
Per-Day Registration Postmarked after May 31: $30/day Students $_____________ $55/day Faculty $_____________ |
If you are registering per-day, please indicate which days you will be attending: ________________________ TOTAL REGISTRATON $__________________(A) |
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Housing, Banquet, and Parking |
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On-Site Housing Dormitory-type housing (single or double rooms with a shared bath) will be available for $29.25 per night per person single, and $23.25 per night per person double. Arrival Date: _____________________ Departure Date: __________________ Gender: (Please circle one) Male or Female Room Preference: Single or Double Requesting a Roommate: YES or NO Name of Requested Roommate: _________________________________ If you are bringing a guest for all or part of the conference, please include his/her name. Guest's Name: ________________________ Number of Nights: ___x $_____ (per night) x # of People: _______= $______________ (B) |
Banquet (please circle one) Attending the Banquet: YES or NO Guest attending the Banquet: YES or NO Special Dietary Needs: ___________________ # attending the Banquet x $25 =_______ (C) |
Parking If you need a parking space, parking fees are $2.00/day. Number of Days _____ x $2 = $_________ (D) |
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Off-Site Housing |
A few rooms have been reserved at the Best Western New Oregon Hotel. The rates are (per night) $56.50 (single), $60.50 (single balcony), $62.50 (double), and $68.50 (double balcony). The New Oregon Hotel is located at 1655 Franklin Boulevard, Eugene, OR 97403. The hotel, which has free parking for guests, is located about three blocks from the conference meeting rooms. Phone (541) 683-3669 and be sure to ask for the group rate for "Seminar on American Philosophy." |
TOTAL FEES: Total
(A) + (B) + (C) + (D) = $ __________________ Eugene, OR 97403-1295 |