ILLINOIS CLASSICAL CONFERENCE

2003 Annual Meeting

The University of Chicago

 

Registration Form

 

Name _______________________________________________________________

School or business _____________________________________________________

Mailing Address _______________________________________________________

                            (Street)  

                        _________________________________________________________

                        (City)                                                 (State)                            (Zip)

Telephone (home) ____________________________ (Work) ____________________

Email address ___________________________________________________________

 

PAYMENTS

Amount

 

Registration Fee ($35. per person)…..…………………………………________

 

Student Registration  ($5. per person)…..…………………………… ________   

 

Saturday  buffet luncheon  ($20. per person)……………………………________

 

Saturday banquet ($32. per person)…..…………………………………________

            (      )Chicken Florentine            (    )Vegetarian dish, Spanakopita

 

Sunday buffet brunch ($18. per person)…..……………………………   ________

 

TOTAL  ENCLOSED (Please make check or money order payable to

              Illinois Classical Conference.)                                                        ________            

 

 

 

N.B. Registration forms and payments should be sent by 8 October 2003 to:

 

                        Mrs. Jay F. Mulberry

                        5542 South Blackstone Avenue

                        Chicago , IL 60637-1854 .