Simone Weil Conference
April 19-22, 2001
University of Notre Dame
Center for Continuing Education

Registration Form

Print and Mail this form to:

Simone Weil Conference
Center for Continuing Education
McKenna Hall
Box 1008
Notre Dame, IN 46556

View a PDF version of this registration form

A confirmation will be sent upon receipt of your registration form.

Questions? Call (219) 631-6691                 Fax (219) 631-8083                    Email: cce.1@nd.edu

Name ________________________________________________________________________

Institution_____________________________________________________________________

Address______________________________________________________________________

____________________________________________________________Zip_______________

Daytime phone: (_______)_____________________________________

Email address________________________________________________

Registration fee: (includes all conference materials, refreshments, meals and reception)
_____ $50
_____ $15 student
_____ no charge - Notre Dame faculty or student
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___________________________________________

If these fees are a hardship, or if you are interested in bringing a group of students to the conference, please contact the Conference Center at the address below.

Hotel accommodations: Rooms are being held at the Morris Inn on campus, directly across the street from the conference center for the nights of April 19, 20, 21. Room rates are $82-$90 plus 11% tax. If you desire accommodations, please indicate your preferences and return this form to the address below. Requests received after March 19 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.

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: _______________________________________________