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