International Symposium on Violence Reduction in Theory and Practice

Conference Registration Form

**IMPORTANT** Please print and mail both pages that follow **IMPORTANT**

Name: _____________________________________________________________________

Institutional Affiliation: _______________________________________________________

Address: ___________________________________________________________________

City: _____________________ State: ___________________ Zip: ____________________

Phone #(s):______________________  Email:  _____________________________________

Credit Card Information:

Type of card: ____________________Name on Card:  ______________________________

Card Number: ______________________________Expiration Date: ___________________

Registration Fee: $50.00

On Campus Housing: Campus housing will be available beginning Tuesday, June 1st,
after 4:00 PM for Board Members and Wednesday June 2nd after 4:00 PM for all other
conference participants. Check out time will be Noon on Sunday, June 6th. If you require
housing prior to or after these dates please contact us at covr@emory.edu for local hotel
information.

________Single ($ 24.00 per night)   _________Number of nights

________Double ($ 18.00 per night) _________Number of nights

Roommate's name: ___________________________________________________________

Check in date and approximate time: ____________________________________________

Check out date and approximate time: ___________________________________________

Food: An all-you-can-eat buffet meal plan which includes three hot meals per day served on
campus is available at a rate of $60.00 for conference participants. Food service begins with
breakfast the morning of June 3rd and concludes with breakfast on the morning of June 6th .
Food service will also be available at this same location on a cash basis.

__________Yes, I will take the $60.00 meal plan.

Parking: If you are commuting to the conference and not staying in campus housing you need
to pay a $6.00 parking commuter fee which covers you for the duration of the conference.
 

 

Name:                                                            
 

Conference Registration: $               50.00

Housing:                                                      

Food:                                                           

Parking fee:                                                

Total:                                 $                        
 

 

Please print this form, 
fill in the required information 
and mail with your 
check or credit card 
information to: 

Conference on Violence Reduction 
 in Theory & Practice 
Religion Department
Emory University
S214 Callaway Center
Atlanta, GA  30322


 

Signature:                                                            
 

 

 Date: ____________________
Special Needs:
Please indicate below if you have any special needs such as dietary restrictions or any
kind of disability for which you may require assistance.

Airline Reservations:
Please call World Travel in the Group Department Office at 800-562-8625 between
8:30 am and 5:30 pm EST to arrange your travel plans.  To qualify for a 10% discount
off the lowest published fare, reservations must be made at least 60 days before travel.
You may also fax your request for travel plans to World Travel at 770-486-2861.

Shuttle Service:
There will be a shuttle service available from the airport.  If you are interested, please
e-mail us at covr@emory.edu with your flight information and time of arrival.


On-Site Registration details:

$60.00 on-site registration fee
$20.00 daily registration fee (no partial days)
Cash or check payments only; no credit card capability on-site.
Commuters may also wish to register for 3-day meal plan (see above)