Registration Form and Membership Dues

Printable Registration Form

Jack London Society 12th Biennial Symposium
October 29-November 2, 2014
The Berkeley City Club Hotel
315 Durant Avenue, Berkeley CA 94704
(510) 848-7800

http://www.berkeleycityclub.com

guestservices@berkeleycityclub.com

PREREGISTRATION FORM

NAME:___________________________________PHONE:______________________

 

ADDRESSES, MAIL & EMAIL:___________________________________________

 

_______________________________________________________________________

 

Academic or other Affiliation:_____________________________________________

 

Preregistration for the Symposium is due no later than August 15, 2014. Please note that after August 15 the registration fee will go up, as will onsite registration. This year much more is included in your registration fee, and we will need accurate counts in advance. Also, if you are submitting a panel or paper, please also fill out and send in the PROPOSAL sheet. Looking forward to seeing you there!

$_______ $20  Bus Ride to Jack London State Park

  • Buy Now Button with Credit Cards

$_______ $325 Regular Full Registration. Includes: conference registration; cocktail reception Thursday; complimentary breakfast; coffee and soft drinks; two luncheons on the Berkeley City Club Terrace Friday and Saturday; trip to the Jack London Ranch on Thursday, with lunch and tours; reduced room rate.

  • Buy Now Button with Credit Cards

$_________($225 retiree and student)

  • Buy Now Button with Credit Cards

$_______ Wish only to attend sessions, no luncheons or cocktail reception ($200)

  • Buy Now Button with Credit Cards

$_______ Wish to attend sessions only, no luncheons or cocktail reception, but do wish to travel to Jack London Ranch ($250)

  • Buy Now Button with Credit Cards

$________Regular Membership ($25)Buy Now Button with Credit Cards

$________Student and First-Time Members ($15) Buy Now Button with Credit Cards

$_________Sustaining Membership ($50)  Buy Now Button with Credit Cards

 

$_______ TOTAL

 

NOTE: You may either use the PayPal feature on the Jack London Society website (jacklondonsociety.org) to pay with a credit card or mail a check to Dr. Jeanne Reesman, Dept. of English, University of Texas at San Antonio, One UTSA Circle, San Antonio, TX 78249, made out to the Jack London Society. In any case, please fill out this form and submit to Jeanne Reesman along with payment or PayPal confirmation.

ALSO: You must call the Berkeley City Club Hotel at 510-280-1534 to make your own individual hotel room reservations. They do not accept internet reservations. Be sure to mention the Jack London Society special room rate. Note that they are giving us an amazing rate for such an iconic hotel!