Attendees can get meals at university cafeterias and Madrid restaurants.  Attendees may seek accommodations at hotels or may register here for rooms at the University Student Residence. 

Enter below the number of people and appropriate amounts for registration fees and sleeping rooms.

All fees are per person.  

Full-time students may take the indicated discount (include photocopy of student ID with registration).

Please pay in U.S. dollars drawn on a U.S. bank, with an international money order in dollars, or Visa or MasterCard.

Your contributions will help ex-members/students needing financial assistance to attend. 

See discount columns for early registration fees.

Don't forget credit card information at the bottom.

Fax, mail, or e-mail this form to:

International Cultic Studies Association (ICSA),

mail: P.O. Box 2265, Bonita Springs, FL 34133

fax: 732-352-6818;

e-mail: mail@icsamail.com

Thursday, Friday, and Saturday conference programs begin promptly at 9:00 a.m. and end at 5:30, leaving the evenings free for socializing.

Arrive at least 30 minutes early to obtain your registration packet.

Make sure you have an up-to-date passport or visa, if needed. 

Full refund up to 30 days prior to conference; partial refund thereafter (contact ICSA).

The conference program is subject to change.

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Name(s):

If this registration is for two people, include both names so we can make name badges.

 Address:

 Affiliation (for name badge - OPTIONAL):

 City:

 State:

 Zip:

 Country:

 Phone(s):

 Fax:

 E-Mail:

No. People

Item

Register By April 1, 2005

Register By June 1, 2005

After June 1, 2005

Calculate Amount Due

Registration Three-Days (Thursday, Friday & Saturday)

$100

$130

$150

$

Full-Time Student Rate – Three Days

$25

$

One-Day or Two-Day Registration.  Check Day(s):  Thursday [    ]      Friday [    ]      Saturday [     ]

Rate is per day.

$35

$45

$55

$

One-Day or Two-Day Registration.  Check Day(s):  Thursday [    ]       Friday [    ]      Saturday [     ]

Full-Time Student Rate per day.

$15, one day

$25, two days

$

University Residence Hall Options – All rooms feature fully equipped kitchen, full bathroom, electric heating and air conditioning, telephone, and Internet connection.  Select option by marking number of people to left, enter arrival and departure dates, and calculate amount due for room.

Single Room with kitchen: $42/night; $240/week

Single Room with shared kitchen: $42/night; $240/week – room is larger than above.

Double Room with kitchen: $35/night/person; $194/week/person

If you select a double, who is your roommate (If your roommate is not also registering and paying for half the room, you must pay for both people here)?

Roommate:

Arrival date__________ Departure date_____________

Total number of nights in residence: ________

Multiply number of nights by number of people, then by rate

$

Contribution

$

Total

$