University of Manitoba: City Limits Conference--OnLine Proposal Submission Form

City Limits: The European City, 1400-1900
September 30--October 2, 2004
Winnipeg, Canada
On Line Registration

NOTE: Early Registration until August 20, 2004
I am a presenter* Yes .......... No
Full Name (as it should appear on a name tag)*
Title* Dr.
Prof.
Ms.
Mr.
Institutional Affiliation*
Mailing Address*
Phone*
(country code)(area code) + number
Email*
Audio/Visual Aids*

Please re-confirm your A/V needs:

I will require the following audio/visual technology:

Overhead Projector & Screen
DVD Player & T.V.
VHS Player & T.V.
Data Projector & Screen (Please bring your own laptop)
Slide Projector & Screen
Other (please specify)

Fee Schedule*
Registration    
Includes morning coffee Fri/Sat & Lunch Fri., Oct 1    
Regular    
Payment before Aug. 20/04
$ 90.00
after Aug 20/04
$110.00
     
Grad students & underemployed
Payment before Aug. 20/04
$ 50.00
after Aug 20/04
$ 60.00
   
Please tick here ONLY if you will NOT be attending the Friday lunch.
 
   
Banquet Dinner (October 2)  
    Chicken
    Fish
    Vegetarian
 
$ 25.00
Banquet only (for guests of conference participants)
#
guests
  
    Chicken
    Fish
    Vegetarian
$ 25.00 each
Total Due (please mail payment to address below)
CDN $
Walking Tour *

Please join us for a free 90 minute walking tour of Winnipeg's historic Exchange District (a National Historic Site) on Saturday afternoon.

Yes, I intend to join the walking tour.
Payment Method*

Please mail your cheque or money order to the address below.

 Cheque
Money Order
We regret that we are unable to accept credit cards.

All fees to be paid in Canadian dollars, made payable to University of Manitoba.
Alternatively, you may print this form from your web browser and mail it to:

City Limits Conference
c/o Natalie Johnson
Institute for the Humanities
407 Tier Bldg.
University of Manitoba
Winnipeg, MB   R3T 2N2
CANADA

TO OBTAIN REDUCED RATE
PLEASE MAIL YOUR PAYMENT TO ARRIVE BEFORE AUGUST 20, 2004

Make all payments to: University of Manitoba

For further information: city-limits@lists.umanitoba.ca