CHEIRON:
The International Society for the History of
the Behavioral and Social Sciences
th 49 Annual Meeting, June 22-25, 2017
Mississippi State University, Starkville, MS
Local Co-Hosts & Organizers: Courtney Thompson, Alan Marcus, and Alix Hui
Registration Form
Please use one registration form per attendee. Contact Information
First Name: ______
Last Name: ______
Email address: ______Telephone: ______
Institutional Affiliation: ______
Address Line 1: ______
Address Line 2: ______
If US: City: ______State: ______Zip Code: ______If Int’l: City: ______Country: ______
Arrival Information
Date and approximate arrival time in Starkville: ______
How will you be arriving? (e.g., car, shuttle, bus, etc.) ______
Will you be attending the Thursday Opening Night Reception at the home of Alan Marcus (no
cost)? Transportation will be available. Yes No
Do you have any food allergies or need for other accommodations? If so, please specify here or
contact Courtney directly.
If you are presenting a paper, please indicate your AV needs. A. Registration Fee
Includes attendance, materials, opening Thursday evening reception, and coffee/tea breaks
throughout the conference. If registering BEFORE May 10, 2017 (check one):
___ Regular Member: $80 (e.g., I am NOT a student registered at a postsecondary
institution)
___ Student Member: $60 (e.g., I am a student registered at a postsecondary institution)
If registering AFTER May 10, 2017 (check one):
___ Regular Member: $120 (e.g., I am NOT a student registered at a postsecondary
institution) ___ Student Member: $100 (e.g., I am a student registered at a postsecondary institution)
For non-student, non-members, please add one year’s dues of $35 IN ADDITION to the
registration fee above: _____ (Student registration includes Cheiron membership dues.)
The one-day “drop in” registration fee is $40/day. Please check which day(s) you will
attend:
Thurs, June 22 ____ Fri, June 23 ____ Sat, June 24 ____ Sun, June 25 ____
No charge for cancellations before May 25, 2017. Afterwards, a $50 charge will apply. Total Cost of A (Registration Fee): $______
B. Housing Options
Cheiron 2017 will have two housing options: on-campus dorm rooms at a reduced rate and a hotel
block at the Comfort Suites. Please note that dorm rooms are conveniently located and
comfortably air-conditioned, but they will not provide a linen service (including sheets, towels,
blankets, and pillows), so if you choose to book a dorm room you must provide your own linens. We have also arranged for hotel rooms at three local hotels, all of which are close to campus
(Comfort Suites within walking distance); transportation will be also available to and from the
conference site from the hotel(s):
Comfort Suites ($109/night), 801 Russell St., 662.324.9595
Courtyard by Marriot ($119/night), 100 Mercantile Street, 662.338.3116
Hampton Inn ($109/night), 700 MS-12, 662.324.1333 When booking the hotel, mention Cheiron for the special rate. We encourage participants to share
rooms. Contact Courtney ([email protected]) if you would like help finding a
roommate. If you plan to stay at a hotel, please contact Courtney to let her know, to facilitate
arranging transportation to and from the hotels.
Dorm Options:
Single room:
$41/night (check which nights):
___ Wednesday ___ Thursday ___ Friday ___ Saturday ___ Sunday = $ ______Double room (shared with a roommate):
$28/night (check which nights):
___ Wednesday ___ Thursday ___ Friday ___ Saturday ___ Sunday = $ ______
Please list the name(s) of the other people with whom you wish to room with (or state “no
preference”): ______Total Cost of B (Housing): $______
C. Meals
Breakfasts and lunches will be served at the Bost Extension Center.
Please check which meal(s) you would like:
Breakfast ($10/day) _____ Friday _____ Saturday _____ Sunday
Lunch ($15/day) _____ Friday Total Cost of C (Meals): $______
D. Mississippi Delta Excursion and Banquet (Saturday 11:50 am – end of evening): $50/person
Conference attendees are invited to join a special excursion to the Mississippi Delta, for a
night of blues and barbeque. Time permitting, this trip will include visits to the Museum of the Mississippi Delta and the Delta Blues Museum; the Cheiron banquet at the Hopson
Plantation; and reception at Ground Zero, a famous blues club.
Travel, museum fees, lunch (on the bus), and the banquet will be included in the cost;
additional drinks at Ground Zero are not included. Banquet/excursion tickets may be
limited and must be purchased in advance, not the day of the excursion.
Total Cost of D (Banquet): $______
F. TOTAL Payment Amount Due (Total Costs of A + B + C+ D): ______Payment Instructions
1. Please email or mail this completed registration form to:
or
Courtney Thompson
214 Allen Hall
Department of History, Mississippi State University Mailbox H
Mississippi State, MS 39762
2. Submit payment
Please mail this completed registration form and a check payable to MSU History to:
Courtney Thompson 214 Allen Hall
Department of History, Mississippi State University
Mailbox H
Mississippi State, MS 39762
If you prefer to pay electronically or if you do not live in the United States, please send registration form as indicated above and use PayPal to pay registration and other fees.
If you do not already have a PayPal account: 1. Go to the PayPal website to sign up for a personal account: https://www.paypal.com/webapps/setup-paypal-account/onboarding? execution=e1s2
2. Enter your personal information.
3. Click “Agree and Create Account”
4. Follow instructions to make a payment
If you already have a PayPal account: 1. Log in to your account at: https://www.paypal.com
2. Click on the tab “Send Money”
3. Enter [email protected] into the “To” Field
4. Enter the amount you owe in U. S. dollars (the total payment amount under “F” above)
5. Click on “Personal”
6. Click on “Payment owed”
7. Click “continue”
8. Click “Send money” For assistance with PayPal payment, please contact David Devonis at [email protected].
For additional questions or assistance with registration or payment, please email or call:
Courtney Thompson [email protected] 732.232.4026