RESEARCH SOCIETY FOR VICTORIAN PERIODICALS CONFERENCE V i c t o r i a n P e r i o d i c a l s a n d P o l i t i c s SEPTEMBER 16 - 18, 2005 THE GEORGE WASHINGTON UNIVERSITY R E G I S T R A T I O N F O R M ------------------------------------------------------------------------ PLEASE PRINT OUT THIS FORM AND MAIL IT WITH CHECK OR CREDIT CARD INFORMATION BY 25 AUGUST 2005 TO: PROFESSOR MARIA FRAWLEY ENGLISH DEPARTMENT AND HONORS PROGRAM GEORGE WASHINGTON UNIVERSITY MOUNT VERNON CAMPUS 2100 FOXHALL ROAD, NW WASHINGTON, DC 20007 For credit-card payments, registration forms can also be faxed to the attention of Keely Walston, Academic Affairs Office, George Washington University at (202) 994-0709. ------------------------------------------------------------------------ NAME: ______________________________________________ ADDRESS: ______________________________________________ CITY/STATE/ZIP: ______________________________________________ COUNTRY: ______________________________________________ EMAIL ADDRESS: ______________________________________________ REGISTRATION FEE: ____ $120.00 _____ $80.00 (GRADUATE STUDENT RATE) PAYMENT (CIRCLE): CHECK / TRAVELER'S CHECK / MONEY ORDER / CREDIT CARD ------------------------------------------------------------------------ * PLEASE MAKE CHECKS PAYABLE TO "THE GEORGE WASHINGTON UNIVERSITY" WITH "RSVP 2005 CONFERENCE" IN THE MEMO LINE. * ON-SITE REGISTRATION WILL BE BY CHECK (US DOLLARS) ONLY. * THE REGISTRATION FEE INCLUDES TWO CONTINENTAL BREAKFASTS, BUSINESS LUNCH (VEGETARIAN AND KOSHER OPTIONS AVAILABLE), TWO RECEPTIONS, AND COFFEE BREAKS. * FOR ADDITIONAL INFORMATION ABOUT THE CONFERENCE PROGRAM AND HOTEL OPTIONS, PLEASE VISIT HTTP://WWW.RS4VP.ORG. ------------------------------------------------------------------------ FOR CREDIT CARD PAYMENTS: (PLEASE PRINT LEGIBLY) NAME ON CARD: ______________________________________________ DATE/DAYTIME PHONE: ______________________________________________ ADDRESS: ______________________________________________ CITY/STATE/ZIP: ______________________________________________ EMAIL ADDRESS: ______________________________________________ CARD TYPE (CIRCLE): MASTERCARD VISA CARD NUMBER: ______________________________________________ EXPIRATION DATE: ______________________________________________ SIGNATURE: ______________________________________________ +--------------------------------------------------------------+ | --Office use only-- | ----| |---- | AUTH NO._____________________ REF NO. ______________________ | +--------------------------------------------------------------+ PLEASE INDICATE YOUR PREFERENCES FOR THE BUSINESS LUNCH MENU, AND IF YOU PLAN TO ATTEND SPECIAL EVENTS. 1. LIBRARY OF CONGRESS TOUR AND SHERRY RECEPTION HOSTED BY JOHN COLE, DIRECTOR, CENTER FOR THE BOOK AND LIBRARY OF CONGRESS HISTORIAN, LIBRARY OF CONGRESS. THURSDAY, SEPTEMBER 15TH FROM 4:00 TO 6:00 p.m. ______ YES, I PLAN TO ATTEND ______ NO, I WILL BE UNABLE TO ATTEND (THOSE ATTENDING THE CENTER FOR THE BOOK TOUR AND RECEPTION SHOULD CONVENE AT 3:45 p.m. AT THE GROUND FLOOR ENTRANCE TO THE JEFFERSON BUILDING OF THE LIBRARY OF CONGRESS: 10 FIRST STREET, SE. THE CLOSEST METRO STOP IS CAPITOL SOUTH, ON THE ORANGE AND BLUE LINES) 2. TOUR OF THE "SMALL MASTERPIECES: WHISTLER PAINTINGS FROM THE 1880S" EXHIBIT, FREER GALLERY OF ART, SMITHSONIAN. THERE ARE TWO OPTIONS AVAILABLE: A DOCENT-LED TOUR AT 1:15 p.m. ON THURSDAY, SEPTEMBER 15TH, OR A WALK-IN GROUP TOUR AT 12:15 p.m. ON SUNDAY, SEPTEMBER 18TH. ______ YES: DOCENT-LED TOUR AT 1:15 p.m. ON THURSDAY, SEPTEMBER 15 ______ YES: WALK-IN GROUP TOUR ON 12:15 p.m. ON SUNDAY, SEPTEMBER 18 ______ NO, I WILL BE UNABLE TO ATTEND AT EITHER OF THESE TIMES (THE CLOSEST METRO STOP IS SMITHSONIAN, ON THE ORANGE AND BLUE LINES. CONFERENCE ATTENDEES ARE ALSO WELCOME, OF COURSE, TO VISIT THIS EXHIBITION ON YOUR OWN.) 3. BUSINESS LUNCH, SATURDAY SEPTEMBER 17TH. COST IS INCLUDED IN REGISTRATION FEES ______ VEGETARIAN ______ KOSHER ______ NON-VEGETARIAN (THERE WILL BE A VARIETY OF OPTIONS AVAILABLE FOR THIS LUNCH BUFFET, BUT IT WOULD HELP THE CATERERS TO KNOW HOW MANY ATTENDEES WILL PREFER VEGETARIAN, NON-VEGETARIAN, OR KOSHER DISHES) ------------------------------------------------------------------------