Due September 1, 2005

Name:

Affiliation:

Address:

Telephone:
(home)
(work)

Fax:

E-mail:

I am an AIHA member (membership information below and at: http://www.aiha.fau.edu)

I am giving a paper
(I have already paid my 2005-06 AIHA membership)
(N.B. All participants whose names appear on the conference program must be AIHA—American Italian Historical Association— members. If you have not already done so, go to: http://www.aiha.fau.edu for AIHA membership)

I am a graduate student
I wish to apply for a travel stipend (students only, please)
(A limited number of student travel stipends are available & based on demonstrated need)

I am an IOHI member (membership information below and at: http://www.iohi.org)
(N.B. IOHI—Italian Oral History Institute— members receive a 10% discount on Conference registration and payment: see membership form below. IOHI membership is not required for conference participation.)

A - Conference registration and payment (choose one)

N.B. Conference registration and payment fee includes:  complimentary breakfast, lunch, and closing reception for Saturday, Nov. 5; conference refreshments; oral history workshop; shuttle service to UCLA; concert at the Hammer Museum on Friday, November 4. (RSVP for special events mandatory: see below).

2005 AIHA Membership
More information on the AIHA and for on line membership form see: http://www.aiha.fau.edu
Or write to AIHA Executive Director, Dominic Candeloro at: D-Candeloro@govst.edu

N.B. Do not include AIHA membership with this form. Contact the AIHA directly.

B – Display Table Request

C - Special Events

(See: www.iohi.org/aiha/festival for more information & updates on these events.)
N.B. Space is limited and registration for these events is on a first-come, first-served basis.
Event date and time are subject to change.

Music & Dance Workshops:

one workshop: $15
two workshops: $25
three workshops: $30
total amount for workshop(s): $

	Music Workshop & Demonstration: Puglia, Sicily, Sardinia (Enzo Fina & Roberto Catalano of Musicàntica (Thursday, November 3, approx. 3:30 – 6:00 p.m.)
	Rhythm is the Cure: Ritual Music and Dance from Southern Italy (Alessandra Belloni, of I Giullari di Piazza) (Friday, November 4, approx. 5:00 – 7:30 p.m.)
	Northern/Central Italian Dances:  from an Emilian monferrina to the Abruzzese saltarello, and Sardinian round dance (Marie DiCocco & Celest DiPietropaolo, folkdance specialists) (Saturday, November 5, approx. 5:30 – 7:30 p.m.)

GRAND TOTAL (Add items in sections A, B & C): $

D - For IOHI Members Only

IOHI Membership 2005-2006
(For more information on the IOHI see: http://www.iohi.org/)
Become an IOHI member or renew your membership here:

New member?     Renewal?

Individual: $30
Student: $20
Organization: $50
Sponsor: $50-100
Contributor: $100-250
Benefactor: $250 +

The IOHI is a 501(c)(3) nonprofit organization. Contributions are tax-deductible.

Special Events: RSVP Mandatory by September 1

PAYMENT

Please pay by check, made payable to: "Italian Oral History Institute - AIHA 2005," and send to:

AIHA 2005 Conference registration and payment
c/o Italian Oral History Institute
P.O. Box 241553
Los Angeles, CA 90024-1553

(Print a copy for your records.)

Make Hotel Reservations separately by contacting the Doubletree Hotel:

Doubletree Hotel Westwood
10740 Wilshire Blvd.
Los Angeles, CA 90024

Tel. (310) 475-8711
Fax: (310) 475-5220
gm@doubletreelawestwood.com; http://www.doubletreelawestwood.com

Special conference rate: $129/room (conference code: AIH)