Registration Form

Ecology, Theology, and Judeo-Christian Environmental Ethics February 21-24, 2002
University of Notre Dame
Center for Continuing Education

Each conferee should register on a separate form.

Name ________________________________________________________________________

Institution_____________________________________________________________________

Position ______________________________________________________________________

Address______________________________________________________________________

____________________________________________________________Zip_______________

Daytime phone: (_______)________________ Email address_____________________________

Registration Fee: (includes all meeting materials, refreshments, reception and most meals)
                          _____ Lilly Network Institution participant (no fee required)
                                         _____ faculty _____ student
                          _____ non-Network participant
                                         _____ faculty $200 _____ student $120

Please indicate dietary restrictions________________________________
Total due_____________

Payment method:
      _____ check enclosed (make check payable in US$ to: University of Notre Dame, CCE)
      _____Visa /Mastercard expiration date_______________

card number_________________________________________________

cardholder signature___________________________________________

Hotel accommodations: Rooms are being held for the nights of February 21, 22, 23. If you desire accommodations, please indicate your preferences and return this form to the address below. Reservations will not be accepted directly by the hotels. Requests received after January 24 will be honored on a space available basis only. If you are unsure of your arrival time or know that it will be after 4:00 pm, we require a credit card guarantee to hold a room for you all night.

_____ Morris Inn, on the campus directly across the street from the conference center
           ($94-$110 plus tax - includes breakfast)
_____ Inn at Saint Mary's, on the campus of Saint Mary's College (shuttle available)
           ($80 plus tax - includes breakfast)

arrival date_____________ departure date______________
                 _____ Single room _____ Twin room
Name of person sharing room ___________________________________
     _____ no guarantee requested
     _____ credit card guarantee card type:_________ expiration date: _______

card number: _______________________________________________

Mail this form to:
Ecology, Theology, and Judeo-Christian Environmental Ethics Questions?
Center for Continuing Education Call (219) 631-6691
McKenna Hall Fax (219) 631-8083
P. O. Box 1008 Email: cce.1@nd.edu
Notre Dame, IN 46556