Registration Form

 

 

 

 

CENTER FOR THE STUDY OF ISLAM AND DEMOCRACY

Seventh Annual Conference

 

The Challenge of Democracy

 

In the Muslim World

 

May 5-6, 2006

Marriott  Wardman  Park Hotel

2660 Woodley Road, NW, Washington, DC, 20008

 

Registration Form

Name & Title:____________________________________________________________

 

Institution:_______________________________________________________________

 

Address:_________________________________________________________________

 

City: ________________________  State:_________ Zip: __________________________

 

Tel.:____________________________________________________________________

 

Fax.:____________________________________________________________________

 

E- mail:_________________________________________________________________

 

 

 

Pre-Registration

 

By April 10, 2006

On-site Registration

 

After April 10

One-day Registration Friday       □ Saturday   □ 

Banquet Dinner Only

 

Member

□  $130.00

□  $180.00

□  $ 100.00

□  $ 50.00

Non-Member

□  $180.00

□  $230.00

□  $130.00

□  $ 70.00

A Couple

□  $280.00

□  $360.00

□  $180.00

□  $ 100.00

Student

□  $ 100.00

□  $150.00

□  $ 70.00

□  $ 40.00

Reserve a Table for Eight Persons ($1500.00 per table) – No. of Tables:___    $   _________

 

Total amount remitted ________________________________________  $   _________

 

Mail registration form with payment to: 

 

CSID Conf. Registration

1625 Massachusetts Avenue, N.W., Suite 601,

Washington, D.C.  20036

 

 

 

 

 


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