Seventh International Milton Symposium Registration Form
General Information Name/Position/Institution: Address: City/State/Zip/Country: Email Address/Phone number:
Symposium Accommodation and Transportation Hotel/B&B: Arrival: Airline & flight number/date & time: Departure: Airline & flight number/date & time:
Will you use a rental car? Y N Will you bring a personal car? Y N Will you need transport from Savannah airport? Y N To Savannah airport? Y N
Miscellaneous Information * Special Food requirements (kosher, vegan, etc.) * Medical conditions that organizers should know about? * Special AV/other requirements to support your talk? * Free Afternoon Excursion. (Please circle one) Hunting Island River boat tour Historic house tour Registration Fees and Payment Registration fee @ $150 ......................................................................................................................................... Companion fee @ $100 (breakfast snacks, lunches, receptions, excursion, masque).............................................. Banquet fee @ $50.................................................................................................................................................. Total amount........................................................................................................................................................... Credit Card (circle one): MC Visa AmEx Discover Name on card: Number: Exp. date:
Checks: payable to "Seventh International Milton Symposium" and mailed to: Roy Flannagan 119 Green Winged Teal Drive Beaufort, SC 29902