REGISTRATION FORM
IMPORTANT NOTE: Please in
all cases print out and send your completed form by post to
Graham Davidson, 87
Richmond Road, Bristol BS6 5EP, UK. This is not an online registration
Coleridge Summer Conference 2008
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Your name(s): |
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Your address: |
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Email: |
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Dietary requirements: (Vegetarian/Vegan/Allergies, etc) |
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Bridgwater Station Collection: Yes / No |
Delivery: Yes/No |
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FEES: |
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Single £550 |
£ |
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Double £1050 |
£ |
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Non-residential £375 |
£ |
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Membership Subscriptions (2Yrs) (UK Sterling): If in any doubt over your 2008 Membership status please check with Paul Cheshire |
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UK £24 |
£ |
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Europe £30 |
£ |
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Rest of World £40 |
£ |
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TOTAL ENCLOSED: |
£ |
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PAID ONLINE: If you pay online please enter the amount here and send this form to Graham Davidson |
£ |
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Signed....................................... |
Date........................................... |
Please in all cases print out and send by
post the completed form to
Graham Davidson, 87
Richmond Road, Bristol BS6 5EP, UK