| Name
Address City Prov Postal Code Email Tel Evening |
|
| Pre-Registration To pre-register, I enclose: __ $300 as a deposit to reserve my place |
*Pre-registration payment includes a $50 administration
fee and a $150 airfare deposit, which are non-refundable in the event
of cancellation by the student prior to full payment. |
| Comprehensive
Insurance [Optional] __ $202 Blue Cross Total Package/Preferred (under 60) __ $278 Blue Cross Total Package/Preferred (under 70) __ I decline the Insurance Package |
*Travellers opting not to purchase
the insurance package will be asked to sign a waiver. All participants
must show proof of medical coverage. |
| Payment I wish to pay by ___ Certified cheque ___ MasterCard ___ Visa Name on Card Card # Expiry Signature Date |
|
| Course Selection __ Credit __Audit CLAS 3373 – Myth, Cult and History __ Credit __ Audit CLAS 3383 – Art and Architecture |
*Pre-registration must be received by January 23rd to gaurantee airfare rates. To complete UNB registration, the balance of the fees and a UNB registration form must be sent to the Department of Classics & Ancient History, Carleton Hall 239, UNB, Box 4400, Fredericton, NB E3B 5A3, by February 20th. Enrolment is limited: we encourage early pre-registration. |
| Accommodation __ Non-smoking __ Smoking __ I wish to room with ............................................................ __ I wish to have a single room (supplement is $300) |
|
| Mail
pre-registration form along with deposit and insurance premium [optional]
to: UNB Study Tour to Turkey 2004 The Department of Classics & Ancient History Carleton Hall 239, University of New Brunswick, Box 4400, Fredericton, NB E3B 5A3 |
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