19th EAN Annual Conference, Södertörn University, Stockholm, Sweden
Monday 14 – Wednesday 16 June 2010
Conference Booking Form
Please complete both sides of this Conference Booking Form and return it with your payment or proof of payment to:
EAN Secretariat, The International Centre, Downshire House, Roehampton University, Roehampton Lane, London
SW15 4HT, United Kingdom Fax: 00 44 (0)20 8392 3229 Email: m.foong@wmin.ac.uk
A limited number of free places have been set aside for students. Please contact the EAN Secretariat for application.
Delegate’s Details (Please print)
Title: (Mr, Mrs, Ms, Dr, Assoc Prof, Prof)
Family Name:
First name:
Job Title:
Department:
Organisation:
Address:
Country:
Tel & Fax:
Email:
Particular requirements [Please indicate any disability or dietary requirements]
Method of Payment
Credit Card: (Pl. sign or scan your signature before you return the Form)
 VISA
 MASTERCARD
Name as on card.…………………………………………………………………………………………………………………….
Card number.…………………………………………………………………………………………………………………………
Expiry date.…………………………………….. Signature of cardholder………………………………………………………..
Total amount (as overleaf): £……………………….. (All credit card payments will be transacted in Pound Sterling only)
By cheque/bank draft:
All cheques or bank drafts must be in Pound Sterling made payable to: “European Access Network”
I enclose a cheque/bank draft payable to “European Access Network”
By direct bank transfer:
£…………………………
Payments made outside the UK please add £15 (€22 EUR) for bank charges
Bank: Lloyds TSB
Branch: Great Portland Street Branch
190 Great Portland Street
London W1A 4LN, UK
BIC:
LOYDGB21028
Sort Code:
Account No:
IBAN No:
Customer:
Reference:
Total amount: £……………… + £15 = £……………….
30-93-68
1103426
GB05 LOYD 3093 6801 1034 26
European Access Network
19th EAN Conference
Total amount: €…………….. + € 22 = €……………….
 I enclose a copy of my bank transfer order with this Booking Form as proof of payment
(€22) bank charges]
[which also includes the £15
19th EAN Annual Conference, Södertörn University, Stockholm, Sweden
Monday 14 – Wednesday 16 June 2010
Conference Booking Form
Please complete both sides of this Conference Booking Form and return it with your payment or proof of payment to:
EAN Secretariat, The International Centre, Downshire House, Roehampton University, Roehampton Lane, London
SW15 4HT, United Kingdom Fax: 00 44 (0)20 8392 3031 Email: ean_gt@yahoo.co.uk; ean.mflee@gmail.com
Conference fee includes registration fee for the 2.5 day event, coffee breaks, 2 lunches and the welcome reception.
A discount applies to bookings for 2 or more persons from the same institution
EAN and COMPOSTELA (CGU) members
Pound
Euro
Early booking rate (by 31 March 2010) for one person
Booking for 2 or more persons from the same institution
£ 360
£ 335 each
€ 486
€ 453 each
Standard rate (from 1 April 2010) for one person
Booking for 2 or more persons from the same institution
£ 390
£ 365 each
€ 527
€ 493 each
Day rate: please specify the date………………………………
£ 195 per day
€ 264 per day
Non-members
Pound
Euro
Early booking rate (by 31 March 2010) for one person
Booking for 2 or more persons from the same institution
£ 435
£ 410 each
€ 588
€ 554 each
Standard rate (from 1 April 2010) for one person
Booking for 2 or more persons from the same institution
£ 465
£ 440 each
€ 628
€ 594 each
Day rate: please specify the date………………………………
£ 233 per day
€ 315 per day
Special reduced rate for:
Pound
Euro
Further education, community and technical colleges,
Polytechnics, preparatory institutions
£ 295
€ 398
Central, Eastern and Southern Europe, the Baltic Countries,
Russia and South Africa
£ 225
€ 304
Student researchers, student organisations, voluntary organisations,
NGOs and delegates from developing countries
£ 150
€ 203
EAN Membership Subscription 2010/11 Become a new member or renew your membership now
Individual
£ 75
€ 100
Institutional
£ 250
€ 325
£
€
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TOTAL PAYMENT
Signature……………………………………………………………..
Date………………………………………………
Terms of Cancellation
A refund – less £80 (€108 euros) administrative costs per person – will be made on cancellations received in writing by
21st May 2010. Thereafter no refunds will be given, but substitutions can be made at any time.