Conference Registration

{"elements":[{"isDiscrete":false,"hidden":false,"name":"title","readOnly":false,"id":184327804,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"fullname","readOnly":false,"id":184327805,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"email","readOnly":false,"id":184327806,"type":"emailElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Yes","value":"0-yes"},{"text":"No","value":"1-no"}],"name":"discloseaddress","readOnly":false,"id":184327807,"type":"radioElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Yes","value":"0-yes"},{"text":"No","value":"1-no"}],"name":"student","readOnly":false,"id":184327808,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"institution","readOnly":false,"id":184327809,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"address","readOnly":false,"id":184327810,"type":"textBoxElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"----","value":"----"},{"text":"£150 Full residential package (including 1 night B&B, Friday/Saturday lunch, Friday dinner)","value":"150.00"},{"text":"£130 Student full residential package (including 1 night B&B, Friday/Saturday lunch, Friday dinner)","value":"130.00"},{"text":"£60 Non-residential package (including Friday/Saturday lunch)","value":"60.00"},{"text":"£40 Student non-residential package (including Friday/Saturday lunch)","value":"40.00"},{"text":"£30 Single day attendance (including lunch)","value":"30.00"},{"text":"£25 Student single day attendance (including lunch)","value":"25.00"},{"text":" £45 Supplementary night (Thursday)","value":"45.00"}],"name":"payment","readOnly":false,"id":184327811,"type":"paymentElement"},{"isDiscrete":false,"hidden":false,"name":"1424691808004_0.43542469934456585_0.5141991477779267","readOnly":false,"id":184327812,"type":"commentElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"n/a","value":"0-na"},{"text":"Friday","value":"1-friday"},{"text":"Saturday","value":"2-saturday"}],"name":"friday-saturday","readOnly":false,"id":184327813,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"dietary","readOnly":false,"id":184327814,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"accessibility","readOnly":false,"id":184327815,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"1424691808004_0.8188082997203762_0.33982124434219874","readOnly":false,"id":184327816,"type":"commentElement"}]}

Your title:

Your full name:

Your email address:

Yes

Your institution:

Your contact address:

Please select one of the following attendance packages (you will be asked to enter your card details on the next registration page)

Total transaction value: 0 GBP

Accommodation pricing is based on a single ensuite room for Friday night.

n/a

Friday

Saturday

Please specify any special dietary needs or restrictions:

Please specify any accessibility issues:

REGISTRATION CLOSES 31 MARCH 2012

Privacy notice

This form will be used to manage attendance at an event. Your attendance at the event will be recorded and associated with your name, but no other personally identifiable data will be stored, and the data will not be used for any purpose other than as a record of the event.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

Spam prevention

English and Comparative Literary Studies

Conference Registration

Failure to load reCAPTCHA