Fax a printed copy of this form to:
416-585-4430 Attn: Dr. Kim Yates
If paying by cheque, payable to "Centre for Reformation and Renaissance Studies," mail it to:
Athletes Conference
Centre for Reformation and Renaissance Studies
71 Queen’s Park Crescent East
Victoria University in the University of Toronto
Toronto ON Canada M5S 1K7
Name (as it appears on credit card, if applicable):
_____________________________________________________________
Mailing Address:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Email / phone:
_____________________________________________________________
Affiliation (optional):
_____________________________________________________________
Audio/Visual Requirements:
_____________________________________________________________
Registration Fees
Faculty Members: _________ $ 100.00 ($75.00 USD)
Students: _________
$ 30.00 ($22.50 USD)
Total Enclosed: $ ________________
Please make cheques payable to "Centre for Reformation and Renaissance Studies," or complete the credit card information below. All transactions from outside of Canada will be processed in US funds.
Name as it appears on credit card: ______________________________________________
Visa or Mastercard (circle one) number:______________________________________________
Expiry Date: _____/______/______
Signature: ______________________________________________
For further information please contact John McClelland, CRRS, Victoria College,
University of Toronto, Toronto M5S 1K7; or by e-mail: john.mcclelland@utoronto.ca