First Name
Title
Address .
Institutional Affiliation:
Telephone ..
Fax ...
Email .
Special requirements (eg access or diet) ..
Are you presenting a paper? Yes/No
Full Conference Fee: (including Conference dinner on the 11th, morning coffee on 12 and 13, lunch on 12 and 13 and admittance to all screenings on the 12th):
Standard: Before 1 August 2002: £99
Postgrads: Before 1 August 2002: £80
Standard:
After 1 August 2002: £125
Postgrads:
After 1 August 2002: £95
Day delegate rates:
including refreshments and: Conference Dinner on the Friday,
Lunch and the screenings on the Saturday and
Lunch on the Sunday.
Prices are before August 1 / and after
11th October (sd) £40 / £45
11th October (pg) £35 / £40
12th October (sd) £45 / £50
12th October (pg) £35 / £40
13th October (sd) £35 / £40
13th October (pg) £25 / £30
Number of Participants:______
GRAND TOTAL £............
Cheques in pounds sterling should be made payable to The University of Hull.
Payment may also be made by credit card (Not American Express or Diners Club) or by debit card. A service charge of 2% will be added to card bookings.
Card Type (eg Visa)__________
Number:
_ _ _ _/_ _ _ _/_ _ _ _/_ _ _ _
Expiry Date:_________________
Name and Address of Card Holder if different from above:
Issue number (for debit cards) .
Please complete this booking form and return with payment to:
Simon Wilkinson, Department of Humanities, American Studies, University of Hull, Cottingham Road, Hull, HU6 7RX, England, or by attachment to
[email protected] ,
or by fax to (44) (o)1482 465303
