9th International US/ICOMOS Symposium
FROM WORLD HERITAGE TO YOUR HERITAGE
April 19-23, 2006, Newport, Rhode Island, USA
Send completed form with payment to:
US/ICOMOS, 401 F Street, NW, Suite 331, Washington, DC  20001 or by fax to 202-842-1861

Use this form for full conference registration, or select

Thursday Sessions only

Saturday Sessions Only
CIRCLE THE APPROPRIATE CHOICE (Join US/ICOMOS here)

BIOGRAPHICAL AND CONTACT INFORMATION
Category Before Feb 15 Feb 16 - Mar 31 After Mar 31 Name                                                                      
ICOMOS Members $310 $350 $390   Inst. Affiliation                                                                      
Non-ICOMOS Members $390 $430 $480 Address                                                                      
ICOMOS Student Members* $150 $175 $200                                                                      
*Note:  Includes individual ICOMOS Student Members and students enrolled at ICOMOS member universities.  University members are:   City, State, Zip                                                                      
Arizona State University
College of Charleston
Columbia University
Cornell University
Roger  Williams University
Savannah College of Art & Design
Stanford University
Texas A&M University		 University of Arkansas
University of Colorado at Denver
University of Florida
University of Georgia
University of Maryland
University of Pennsylvania
University of Texas at Austin		   Country                                                                      
  Phone                                  Fax                                
  Email                                                                      
FIELD TOURS (Friday, April 21, morning tours only)
Included with registration; $25 additional for spouse/partner.

ANCILLARY EVENTS

Number your preferences from 1 to 6 (1 being most preferred)

 

_____ Tour 1:  Colonial Newport (18th Century Tour)

_____ Tour 2:  Newport in the Gilded Age (19th Century Tour)

_____ Tour 3:  Salve Regina University

_____ Tour 4:  Preserving Historic Landscapes

_____ Tour 5:  The Breakers and Chateau-sur-Mer

_____ Tour 6:  Providence, Rhode Island

Opening reception at Ochre Court - Thursday evening, April 20
 $15 for registrant; $30 for spouse/partner

Reception and auction at Rosecliff - Friday evening, April 21
$15 for registrant; $30 for spouse/partner

OR

Both receptions (Ochre Court and Rosecliff)
$25 for registrant; $50 for spouse/partner
REGISTRATION COST WORKSHEET  
Registration fee

______
Friday morning field tour for spouse/partner ($25)

______
Thursday evening Ochre Court reception
($15 for registrant and $30 for spouse/partner)

______
Friday evening Rosecliff reception
($15 for registrant and $30 for spouse/partner)

______
 OR both Ochre Court and Rosecliff receptions
($25 for registrant and $50 for spouse/partner)

______
 

 

TOTAL DUE

______

PAYMENT INFORMATION

>  Check enclosed [make payable to US/ICOMOS]

>  Visa or MasterCard (circle one)
  Name
on Card		                                                                      
  Card
Number.		                                                                      
 

Exp
Date

                                Ver Code                           
 

Signature

                                                                      

Send completed form with payment to
US/ICOMOS, 401 F Street, NW, Suite 331, Washington, DC  20001 or by fax to 202-842-1861
Note:  For cancellations on or before April 15, US/ICOMOS will retain $50 for administrative purposes,
but will refund remaining registration fees.  For cancellations after April 15, US/ICOMOS will retain $100.