(RE)THINKING CARIBBEAN CULTURE

ON-LINE REGISTRATION FORM

(Deadline for Submission of Completed Registration Form: April 20, 2001)

Personal Information:

First Name:
Last Name:
Title:
Post / Student Status:
Institution:
Phone (W):
Phone (H):
FAX (if any):
E-mail:
Snail Mail:
Participation Information:
I am:
The title of my paper is 

(if applicable):

Airline Information:

Date and Time of Arrival:
Date and Time of Departure:

Flight Numbers:
Accommodation:

First Choice:

Second Choice:

Other Options:

         

         

The registration fee should be submitted with your paper by April 30, 2001.  Please do not send cash in the mail.  All bank drafts should: