Application to the Erasmus Summer School
New Methods in History
University of Bergen
Sept. 13-21, 1996


For 1995, the participation fee is NOK 250 which must be deposited in advance: Sparebanken Vest, account 3562.66.19604. Enrollments are valid only after payment of this fee. Deadline is July 1 1996.

Surname ___________________ First name ____________________

Born ____________________

University __________________ Department ___________________

Address _______________________________________________

Phone ___________________Fax ___________________________

E-mail _________________________________________________

Years in university _______________________________________


Course chosen (put 1 in front of first choice, 2' in alternative, in case first choice is filled up).


Housing

I want to make a reservation for housing:


A participation fee of NOK 250 should be sent to Sparebanken Vest, account 3562.66.19604.


Send this form as soon as possible and before June 10 to: