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Booking Form



HUMANITIES RESEARCH CENTRE




The Riddle of Devolutionary Identity

Saturday 18th November 2006



Organised by Zoë Brigley and Jonathan Morley


BOOKING FORM


Please return by Friday 10th November 06 to: Sue Dibben

Humanities Research Centre

Room H452, University of Warwick

Coventry, CV4 7AL, UK


I wish to attend the above conference and enclose payment in respect of the following: (please print clearly)


Name and Title: ___________________________________________________________________



Contact Address: _________________________________________________________________


___________________________________________________________________________________


___________________________________________________________________________________


E-Mail: ___________________________________________________________________________


Are you happy for this e-mail address to be disclosed to other participants?


Yes □ No □


Telephone: _______________________________________________________________________


University/College: ________________________________________________________________



Registration: (full) £20.00


Registration (student/unwaged) £10.00


Registration includes conference fee, lunch and refreshments


Amount enclosed: ______________


PLEASE MAKE CHEQUES PAYABLE TO ‘ University of Warwick’


THE DEADLINE FOR REGISTERING IS AT THE VERY LATEST WEDNESDAY MORNING.

DELEGATES WILL NEED TO GET THEIR REGISTRATION FORMS TO THE HRC SECRETARY SUSAN DIBBEN BY THEN.