>21ST EZRA POUND INTERNATIONAL CONFERENCE
>Rapallo, Italy
>July 4-7 2005
>
>REGISTRATION FORM
>(Fill out printed copy and send by mail before 31 March.)
>
>Name:   ___________________________________________________________
>
>Address: (Street) ____________________________________________________
>
>(City, State, Country & Zip Code)_______________________________________
>
>Email Address:
>
>REQUIRED PAYMENTS:
>Participant(s)  @ _ 100 ($135)  ____  (by 31 March; late fee @ 130
>Euros or $170)
>Attendant(s)   @ _ 25 ($35)   ____
>
>OPTIONAL:
>
>Montallegro Lunch Reservation   @ _25 ($35) ___
>Sant'Ambrogio Dinner Reservation @ _30 ($40)___
>Lerici, Portovenere & Cinque Terre Reservation (Meal only)  @ _30 ($40)  ___
>San Fruttuoso & Portofino Boat Trip Reservations       ___
>(Please indicate the number of persons intending to take this trip
>for our records. You will be expected to purchase your own tickets
>for the boat trip and visit to the Abbey.)
>NOTES: Transportation is not included in the above reservations,
>which cover only the cost of meals. Program may change, in which
>case your reservation will be applied to an alternative program, if
>applicable, or reimbursed.
>
>
TOTAL AMOUNT REMITTED (Dollars or Euros):       _____________________

>Send this completed registration form, with your check (made out to
>"21st Ezra Pound International Conference") for the total in dollars
>by 31 March to: Prof. William Pratt, Dept. of English, Miami
>University, Oxford, OH 45056
>
>If you wish to pay in euros, deposit through your bank the total
>amount (indicating that it is for "21st Ezra Pound International
>Conference") by 31 March on the following account:
>
>Massimo Bacigalupo, c/o Banco di Roma, Corso G. Matteotti, 33, Rapallo GE
>16035, Italy; ABI: 3002; CAB: 32110; ACCT. NO.: 4098-39; IBAN (code
>for international payments):  IT08Y03002-32110-0000004098-39.
>PLEASE NOTE:  If you choose to pay in euros, please attach a copy of
>your receipt to this Registration Form when you mail it to the
>Secretary.