
CENTER FOR THE STUDY OF ISLAM AND DEMOCRACY
Seventh Annual Conference
The Challenge of Democracy
In the Muslim World
May 5-6, 2006
Marriott Wardman Park Hotel
2660 Woodley Road, NW, Washington, DC, 20008
Registration Form
Name & Title:____________________________________________________________
Institution:_______________________________________________________________
Address:_________________________________________________________________
City: ________________________ State:_________ Zip: __________________________
Tel.:____________________________________________________________________
Fax.:____________________________________________________________________
E- mail:_________________________________________________________________
|
Pre-Registration
By April 10, 2006 |
On-site Registration
After April 10 |
One-day Registration Friday □ Saturday □ |
Banquet Dinner Only
|
Member |
□ $130.00 |
□ $180.00 |
□ $ 100.00 |
□ $ 50.00 |
Non-Member |
□ $180.00 |
□ $230.00 |
□ $130.00 |
□ $ 70.00 |
A Couple |
□ $280.00 |
□ $360.00 |
□ $180.00 |
□ $ 100.00 |
Student |
□ $ 100.00 |
□ $150.00 |
□ $ 70.00 |
□ $ 40.00 |
Reserve a Table for Eight Persons ($1500.00 per table) – No. of Tables:___ $ _________
Total amount remitted ________________________________________ $ _________
Mail registration form with payment to:
CSID Conf. Registration
1625 Massachusetts Avenue, N.W., Suite 601,
Washington, D.C. 20036