(please download & print, then fill out and mail to us at the address below)
KISSING
SPIDERS REGISTRATION FORM
(please download
& print, then fill out and mail to us at the address below)
I wish to
attend the Kissing
Spiders Conference 29 – 30 April, 2000
( )
| Full name (including
title) ______________________________________________________ Institutional affiliation ______________________________________________________ Mailing
address ___________________________________________________________ Postcode/zip __________________________ Country _________________________ Phone (day) __________________________ (evening) ____________________________ Fax: __________________________ e-mail __________________________________ |
I am
A full-time student/retired/unemployed (please delete) ( ) (concessionary fee)
In full-time academic employment ( ) (full fee)
Other (please specify) ______________________________________________
(
) (full fee)
My preference for a conference nametag is: _____________________________________
| I wish to
attend the performance of Epicœne by Miscreants I wish to attend the conference breakfast (cost £4.00) I wish to use the Kenilworth/Campus bus shuttle (cost £4.00) |
Yes ( ) Yes ( ) Yes ( ) |
No ( ) No ( ) No ( ) |
REGISTRATION FEE
I enclose
the following registration fee (cheques and bankers drafts are payable to
THE UNIVERSITY
OF WARWICK and
should be drawn in POUNDS STERLING ONLY please).
| Full
fee Concessionary fee Sunday breakfast Kenilworth bus |
£
35.00 £ 17.50 £ 4.00 £ 4.00 |
(
) ( ) ( ) ( ) |
||
| TOTAL | £ |
Please mail
you remittance to:
| Kissing
Spiders Conference Humanities Research Centre University of Warwick Coventry CV4 7AL United Kingdom |