| CIRCLE THE
APPROPRIATE CHOICE |
BIOGRAPHICAL
AND CONTACT INFORMATION |
| Category |
Pre-Feb
28 |
On-Site |
Name |
|
| ICOMOS Institutional Member |
$265 |
$285 |
Inst.
Affiliation |
|
| ICOMOS Member |
$295 |
$315 |
Address |
|
| Non-ICOMOS Member |
$375 |
$395 |
|
|
| Students* |
|
|
|
|
| Student (non-ICOMOS Member) |
$110 |
$120 |
|
|
| Student
(non-ICOMOS Member BUT enrolled in a University that is an
Institutional Member of US/ICOMOS)** |
$80 |
$90 |
Country |
|
| Phone |
|
| Student (ICOMOS Member) |
$80 |
$90 |
Fax |
|
| Student (ICOMOS
Member AND enrolled in a University that is an Institutional Member
of US/ICOMOS |
$50 |
$60 |
Email |
|
|
FOR THOSE OPTING FOR AIRPORT
TRANSPORT SUPPLEMENT: |
|
|
|
Arrival
Airline &
Flight No. |
|
| Airport & Motel-to-Town
Transport Supplement (from Shreveport or Alexandria airports; for
New Orleans, see Special for New Orleans) |
$60 |
$60 |
Arrival
Airport |
|
|
|
|
Arrival Date
& ETA |
|
| *Photocopy of valid student
ID required |
|
|
Departure
Airline &
Flight No. |
|
| ** University
members are: Arizona State Univ, Catholic Univ of America, Coll of
Charleston, Columbia Univ, Cornell Univ, Univ of Penn, Roger
Williams Univ, Savanna Coll of Art & Design, Stanford Univ,
Texas A&M Univ, Univ of Colorado at Denver, Univ of Florida,
Univ of Georgia, Univ of Maryland, and Univ of Texas at Austin |
Departure Date
& ETA |
|
| Field Tours
(Friday, 26 March): Circle One |
 |
Circle if
interested in the Special from New Orleans
(separate sign-up
form required; see below) |
|
-
Carolyn Dorman Nature Preserve
-
Natchitoches Historic Landmark District
-
Fort St. Jean Baptiste, Grand Ecore, and
other Civil War Fortifications
-
Cane River National
Historic Park and Heritage Area
-
Creole Culture and Cooking
-
The American Cemetery in
Natchitoches
-
NCPTT Workshop:
Monument Conservation
|
Click
here for Special from New Orleans
(roundtrip transportation from New Orleans
to Natchitoches with a plantation tour and lunch)
|
Send completed registration form with
payment to:
US/ICOMOS
401 F Street, NW, Suite 331
Washington, DC 20001
|
|
PAYMENT INFORMATION-----
 |
Check enclosed [make payable to
US/ICOMOS] |
 |
Visa or MasterCard |
|
|
Total Amount Due |
|
Name
on Card |
|
Card
Number. |
|
|
Exp
Date |
|
|
Signature |
|