Please e-mail this completed form no later than 31 May 2012 to IMSParis2012@gmail.com.
International Medieval Society (IMS-Paris)
Symposium 2012: “Human/Animal”
28-30 June 2012
Affiliation: ____ ___
Address: _______ ___
Please place an X in the boxes that apply to you:
[ ] With this form, I register for the IMS-Paris 2012 Symposium. I agree to pay the required membership fee
on the first day of the Symposium or pre-pay (see rates & instructions below).
[ ] With this form, I register for the IMS-Paris 2012 Symposium and attest that I am a member of the LAMOP
(I am therefore exempt from paying the registration fee).
[ ] I will attend the cocktail (free) on Thursday, 28 June at the home of Danielle Johnson (Paris, 7th arrond.).
[ ] I will attend the Symposium dinner on Friday, 29 June (additional cost: 35 euros / 42 US$).
My choice of first course: [ ] eggplant & ricotta - OR - [ ] avocado & crawfish
My choice of main course: [ ] chicken & zucchini risotto - OR - [ ] sea bass & mashed potatoes
My choice of dessert: [ ] fruit crumble - OR - [ ] chocolate fondant
(cocktail, wine, coffee/tea included)
I hereby register for one of the following Symposium tours on Friday, 29 June (free):
The tours will be in French, but our guides kindly agree to provide explanations in English as the need arises.
***Please note: space is limited. You will be registered for your choice of tour on a first-come-first-served basis.***
[ ] “La Bibliothèque Mazarine" - led by Christophe Vellet, conservateur
[ ] “La Bibliothèque de l’Arsenal" - led by Eve Netchine, directeur-adjoint, and Nathalie Coilly,
[ ] I would like to be added to the IMS Members e-mail listserv (firstname.lastname@example.org).
IMS-Paris Membership Fee Schedule
35 euros / 42 US$: regular rate
25 euros / 32 US$: reduced rate for students, emeriti/ae, independent scholars
100 euros or more: Friends of the Society
Cheques in euros should be made out to the “Société Internationale des Médiévistes” and sent to:
3 rue Emile Accolas
Cheques in US dollars should be made out to the “International Medieval Society Paris” and sent to:
Department of Art History, 100 Dodd Hall
University of California, Los Angeles
405 Hilgard Avenue
Los Angeles, CA 90095-1417
Registration will not be considered complete until your fee is received. Thank you.