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: