INTERNATIONAL NAPOLEONIC SOCIETY. Twelveth International Napoleonic
Congress. NAPOLEON AND REVOLUTIONS AROUND THE WORLD.
INTERNATIONAL NAPOLEONIC SOCIETY Twelveth International Napoleonic Congress
NAPOLEON AND REVOLUTIONS AROUND THE WORLD Parque Central Hotel
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Havana, Cuba, July 7-11, 2014
Please complete this form and either email it or fax it back as soon as possible. For questions, please use email:
[email protected], phone (416)342 8081 or fax (416) 368 2887.
REGISTRATION FORM ______________ Title (Mr, Ms, Dr) : __________________ Spouse /Companion : _____________ Street Address :
_____________ Last name :
_____________ First Name :
__________________ Middle Name/Initial :
______________________________________________ Others attending with you, not separately registered : _______________ City :
___________________ Phone :
_______________ Fax :
___________________ Date arriving in Cuba :
__________________ Date Leaving Cuba :
_______________________ Province/State Country : _______________________ E-mail : ___________________ Name of Hotel :
______________________________________ Title of Paper : __________________________________________ Special requirements for presentation (e.g. overhead projector, LCD projector) :
Author Release Form All presenters who wish their paper published must give authorization to the INS I accept the invitation of the International Napoleonic Society to present a paper to the twelfth International Napoleonic Congress in Cuba, and will comply with the technical requirements set forth in the Call for Papers. I authorize the International Napoleonic Society to publish my paper in any Napoleonic Scholarship, other publications or the INS Website, and/or to use it in a podcast/DVD of the Congress. ________________ Print Name :
______________ Sign Name :
________________ Date :