International Conference on Romanticism
11th Annual Conference
Romantic Border Crossings
Texas A & M International University, October 14th-17th
ICR 2004 Registration Information

Name ____________________________________________________

Job Title __________________________________________________

Affiliation _________________________________________________

Street Address _____________________________________________

City, State, Zip _____________________________

Daytime telephone (_____) ______-_______

E-mail address _____________________________

Would you be willing to moderate a panel? Yes / No (circle one)
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For Presenters Only:

Title of presentation ____________________________________________________

Type of presentation: Paper/Performance/Other ____________________(circle one)

Equipment needs: (check all that apply)

None ___ Overhead projector ___ Other (specify) _______________________________

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ICR 2004 Registration Fees

Standard Registration Fee (Pre-August 1) = $80
Late Registration Fee (Post-August 1) = $90
Student Registration Fee = $30
Banquet = $35
Vegetarian (yes or no)

At this time, all registration fees must be paid by check, money order or international bank draft
(in US currency when possible). Please be sure to make check, money order, etc. out to the
International Conference on Romanticism. Please print and mail this form
and fees to:

Jeffrey Cass
Department of Language and Literature
Texas A & M International University
5201 University Blvd.
Laredo, TX 78041-1900
Phone: (956)-326-2601
FAX: (956)-326-2470
E-mail: jcass@tamiu.edu