Registration Form

Name, First name: ..........................................................................................
Title (Prof., Dr., Mr., Ms. ... ):

Institution: ..........................................................................................

Contact Address: ...................................................................
   ..........................................................................................
   ..........................................................................................

e-mail: ..........................................................................................
tel.:  ..............................................    fax:  . .....................................

Conference fee
(incuding 3 buffet lunches, Tues., Wed., and Thurs. Please indicate special dietary requirements): 550 FF

Conference Dinner
(including wine and transport to a gourmet restaurant on the Breton coast): 280 FF

Cheques should be made out to "M. l'agent comptable de l'UBO".
We are unable to accept payment by credit card.
 

Please send this form to:

David Banks, Faculté des Lettres et Sciences Sociales, Université de Bretagne Occidentale, 20, rue Duquesne, BP 814, 29285 Brest Cedex, France.
e-mail: david.banks@univ-brest.fr