JAVS Fall 2003

2004 INTERNATIONAL VIOLA CONGRESS REGISTRATION FORM June 9-13, University of Minnesota School of Music, Mimeapolis • New! Register online atwww..amaicanv'.olasociety.org ONE FORM PER PERSON • PLEASE PRINT CLEARLY • PHOTOCOPIES ACCEPTED Name ________________________________________________________________________________________ Admess _______________________________________________________________________________________ Cicy_______________________________ State/Province _____ Country_____ ZIP/Postal Code______ Mobile phone Telephone---------------------------- Email ----------------------------- Fax _____________________________ Special dietary, health, housing needs? (Please describe):----------------------------- ALL VIOLISTS ATTENDING THE CONGRESS MUST BE VIOLA SOCIETY MEMBERS (Choose one) I am already a member of the D American Viola Society (AVS) D Canadian Viola Society (CVS) D German Viola Soc.(DVG) D Aust./NZ Viola Society (ANZVS) 0 Other (specify) ------ 1 am enclosing one year's membership dues to become a member of the American Viola Society D $42 Adult/Professional D $21 Student $30 International Student D $47 International 0 $52 Joint AVS/CVS Membership dues $ _______ PRE-REGISTER BY MAY 1 (AFTER MAY 1 OR FOR ON-SITE REGISTRATION, PLEASE ADD $25) D Regular Full Congress Registration: $200 for Adult/Professional AVS-CVS-IVS Members D Overseas Regular Full Congress Registration: $150 for VS Members D Student Full Congress Registration: $125 for AVS-CVS-IVS Members 0 Overseas Student Full Congress Registration: $100 for VS Members 0 Daily General Admission: $50/day (days attending :________________/ OFamily/Chaperone/Non-Violist Admission: $75 (full congress fee) HOUSING D I plan to stay off-campus or at the Radisson Hotel and will make my own housing arrangements. D I plan to stay on-campus for all five nights (June 9-13) in Middlebrook Hall and choose the following options: 0 Male D Female Age.________ 0 Single Occupancy $220 0Double Occupancy $140 (per person) Congress Registration $ _______ Name of preferred roommate, otherwise one will be assigned:------------------------------ Housing $ _____ MEAL PLAN (Full congress) DYes, I would like to purchase the full Viola Congress meal plan at Middlebrook Hall for $90.00 beginning with dinner on June 9 and ending with lunch on June 14 Meal Plan $ ________ CONGRESS BANQUET· Saturday June 12 As a prelude to the final evening Gala Concerto Concert, (June 12) please join us at the beautiful geodesic McNamara Alumni Center for a mouth-watering Viola Congress feast. As a special treat, The Four Violas will serenade between courses and are sure to bring smiles and chuckles to all. ' DYes, I would love to attend the Viola Congress Banquet. I am including $32 with my registration. DNo, I am sorry that I will not be able to attend this event. Viola Congress Banquet $ _______ FRIENDS OF THE XXXII INTERNATIONAL VIOLA CONGRESS D I want to support the XXXII International Viola Congress! Please accept my additional donation and list me as a friend ofthe convention in the official Congress Program Book. Additional Donation $ ______ Check or money order in U.S. funds (Refunds through May 15 only) Payment by credit card (MCNisa!AmEx) # ------------------------- Exp. Please make a photocopy of this form for your records, then send with payment in U.S. funds to: AMERICAN VIOLA SOCIETY. 13140 Coit Rd. Suite 320 . LB 120. Dallas, Texas 75240 Fax 972/490-4219 • www.americanviolasociety.ore . www.music.umn.edu/viola.htm Notice: This convention registration is entered into by the attendee in consideration ofthe use of the facilities of The University ofMinnesota during the 2004 International Viola Congress. It is understood and agreed that all facilities of The University ofMinnesota will be used by attendees at their sole risk, and that atten - dees shall hold The University ofMinnesota and the American Viola Society harmless for personal injury or property damage resulting from participation in the 2004 International Viola Congress. either on and offthe premises ofthe University. Membership, Registration, Housing, Meals, Banquet, Donation TOTAL PAYMENT $.________