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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:…………………………………………………………………………………