Treasures from an Unknown Reign:
Shunzhi Porcelain

Symposium:
Friday, March 21 - Saturday, March 22, 2003
University of Virginia Art Museum, Charlottesville

Symposium presented in conjunction with the exhibition
"Treasures from an Unknown Reign: Shunzhi Porcelain"
at the University of Virginia Art Museum
on view January 25 - March 2, 2003

Registration Form

If you would like to attend the symposium, please fill out the form below and mail,
along with a check or your credit card information, to:

Shunzhi Symposium
University of Virginia Art Museum
P.O. Box 400119
Charlottesville, VA 22904-4119

You may also fax the form (if paying via credit card) to the Museum (ATTN: Shunzhi Symposium): 434-924-6321 (USA).

The cost for the symposium is $100 for Museum members and $125 for non-members.
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Name_________________________________________________________________

Address_______________________________________________________________

City___________________StateZip

Telephone_Email_______________

U.Va Art Museum Member Non-Member

Would you like a boxed lunch on Saturday, March 22? Yes No

Please note any dietary restrictions_________________________________________

Are you driving (parking directions will be sent separately)? Yes No

Payment Information
____Enclosed is my check payable to the University of Virginia Art Museum

Charge to: Visa Mastercard American Express

Account Number______________________ Exp. Date _

Name as it appears on card____________________________________________

Signature__________________________________________________________