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Please print-out and fill in the following information, then mail to: Dr. James B. Kiracofe, DirectorInter-American Institute for Advanced Studies in Cultural History12000 Greywing Square, A-3Reston, Virginia, 20191, USAEnclose your check or money order for $35.00 [ $50.00 after April 1], for each attendee payable to the Inter-American Institute for Advanced Studies in Cultural History
_______________________________________________ Name
________________________________________________ Address
________________ ______________________________________ affiliation
_______________________________________ Research interest and discipline |