Register by Fax, Mail, E-Mail, Phone

PDF Version of this Form

ICSA Annual Conference, June 29 - July 1, 2017

Bordeaux, France

Pre-Conference Workshops, June 28, 2017

Mail/fax/e-mail this form to ICSA, PO Box 2265, Bonita Springs, FL 34133, USA.  Fax: 1-305-393-8193.  Phone: 1-239-514-3081. Email:  mail@icsamail.com. 

No. People

Item

Register by 31 March

Register after 31 March

Calculate Amount Due

 

ICSA Members

$150

$225

$

 

Non-Members - Includes free one-year membership. Accompanying family members may take member rate.

$200

$275

$

 

Daily registration - specify day(s): 

WED [     ]     TH  [     ]      FR [     ]       SA [     ] 

$125

$150

$

 

Full-time students - Includes free one-year student membership

$50

$75

$

 

Preconference Workshops (June 28, 2017) - Signup online

www.icsahome.com/events/conferenceannual/preconferenceevents

Free to all registrants

 

 

Discounts:  Speakers may deduct $50 from 3-day registration, only if they register by 31 March. Those with financial need should contact ICSA, specifying the nature of that need, to explore discount possibilities.

 

Contribution

$

Total Amount

$

Payment Method: _____Check (U.S. Funds drawn on U.S. bank or money order)    ___Visa   ___ MasterCard

Number:                                                                                             Exp. Date:                    Security Code:

Name(s):

Address:

Address (Cont.):

City/State/Zip/Country:

Phone(s)/Fax:

E-Mail(s) (Important!):


Instructions

Enter the number of people and appropriate amounts for registration fees. All fees are per person. Full-time students and/or speakers may take the indicated discount (bring student ID to registration). Discounts are also available for those in financial need. 

Payment is in U.S. dollars and drawn on a U.S. bank, or with an international money order in U.S. dollars, or Visa or MasterCard. Your contributions will help former members/students needing financial assistance to attend. 

Nonmembers will receive a free membership with their registration ($75 value). Members’ immediate family, and families of nonmembers selecting the nonmember rate, may take the member rate. (Contact us if you are not sure of your membership status). 

Registration includes free attendance at optional preconference workshops on June 28, 2017.  
Signup online

Don't forget to include payment information. Fax, mail, or e-mail this form to International Cultic Studies Association (ICSA), P.O. Box 2265, Bonita Springs, FL 34133 (fax: 1-305-393-8193; e-mail: mail@icsamail.com). 

We will send more information after you register. Full refund up to 30 days prior to conference; partial refund thereafter (contact ICSA). You are responsible for making or cancelling your hotel reservation. 

The program is subject to change. Please print neatly. Contact us if you do not receive a conference confirmation.