37Th International Hume Conference

37th International Hume Conference

July 6-10, 2010

University of Antwerp

Antwerp, Belgium

Please print out this form, fill out the required information, and then

-  fax it to +32 3 265 44 20 (att. Livia Verbrugge);

-  or mail it to:

University of Antwerp

Hume Conference – Department of Philosophy

Att. Livia Verbrugge

Prinsstraat 13

2000 Antwerp

Belgium

-  or send it by e-mail to

NAME: ….. FIRST NAME: …..

AFFILIATION: …..

MAILING ADDRESS: …..

…..

…..

…..

HOME PHONE: …..

OFFICE PHONE: …..

EMAIL ADDRESS: …..

(Note that most communication will be via email unless you explicitly note otherwise.)

Special needs and/or access requirements (please specify) …..

…..

Special food requirements for lunches and/or closing banquet

O Vegetarian O Vegan

REGISTRATION FEES

1)  Basic General Fee

(includes conference booklet with all lectures, map, coffees and drinks between sessions)

Before July 1: 60 euro

After July 1: 70 euro

Student and un(der)employed Fee (please send us a copy of

your student card) : 40 euro

O P T I O N A L

2)  Lunches (salad lunches with sandwich filling and chicken on July 7-9; sandwiches on July 6 & 10; all drinks and tip included) recommended: lunches and sandwiches can be taken on Campus. But also there are restaurants and bars at walking distance from the conference site.

65 euro. Number of tickets : ____ x 65 euro = _____

3)  Excursion to Bruges on Friday, July 9 : travel and guided tour

20 euro. Number of tickets: ____ x 20 euro = _____

4)  Closing Banquet on Saturday, July 10 :

50 euro. Number of tickets : ____ x 50 euro = _____

5)  T-shirt:

10 euro. Number of T-shirts : ____ x 10 euro = _____

T O T A L A M O U N T : ______

o  I am paying by bank transfer

o  I am paying by credit card

(Please note that it will not be possible to pay cash or by credit card upon arrival)

1)  Bank transfer :

Please transfer the amount payable to :

University of Antwerp

Account number : 735-0088627-54

IBAN: BE 42 7350 0886 2754

BIC: KREDBEBB

Don’t forget to add the following specification: “Hume Conference – SC200951”

2)  Credit Card

Credit card payment is only possible with VISA or Eurocard.

Type of card:

VISA Eurocard Mastercard

Card number: …..

Name of holder: …..

Name on card: …..
(only if different from holder)

Expire date: …..

Card verification code: (7 digits on the back of the card) …..

Date: …..

Signature:

Don’t forget to add the following specification: “Hume Conference – SC200951”