Registration Form
CHARLOTTE SMITH AND BRITISH ROMANTICISM
28-29 OCTOBER 2006
UNIVERSITY OF WARWICK
Registration Form
Please send this form with full payment by 2 October 2006 to Jacqueline Labbe, Dept. of English and Comparative Literary Studies, University of Warwick, Coventry CV4 7AL, UK.
Forms received after 2 October will incur a late booking fee of £10.
Name:
Institution:
Address:
Telephone/email:
Conference fee (inclusive of accommodation 28/29 October,¶ all fees, meals* and teas/coffees/snacks):
- Waged -- £195 __
- Unwaged/student -- £165 __
Additional accommodation:
- 27 October -- £88 B&B __
- 29 October -- £88 B&B __
- supplement for a double room -- £30 per night __
(¶accommodation is in Arden House, a conference center on campus, with hotel-style amenities, all en-suite)
(*meals include morning tea and coffee/lunch/dinner on Saturday, and breakfast/lunch/afternoon tea and coffee on Sunday; special dietary requirements [please circle]: Halal/Kosher/Gluten-free/Vegetarian/Vegan)
Total:
(please make cheques payable to University of Warwick)
Credit card payment:
Fee for processing: £5 (please add to Total)
Card type(Diners Club/AmEx not accepted):………..
Card number:…………………................Expiry date:…... Issue #/ security code # (3 digits) ……
Signature:…………………………………………………………………………………