registration form

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A Celebration of Living Theology Registration Form
Monday 9th July to Thursday 12th July 2012
St Chad’s College, Durham, DH1 3RH
BOOKING OPTIONS
Please read the options carefully and tick the appropriate box(es)
Regular Attendees and presenters:
Conference Fee: £100
Day Attendees:
Monday 9th Fee: £50
Tuesday 10th Fee: £50
Wednesday 11th Fee: £50
Thursday 12th Fee: £50
Buffet lunch (12th): £30
TOTAL: £________
I have enclosed a cheque for: £____
Cheques, in Sterling, should be made payable to Durham University.
Booking forms and cheques should be sent to:
Mr Justin Mihoc
Dept of Theology and Religion, Durham University
Abbey House
Palace Green
DURHAM
DH1 3RS
UK
NAME (incl. title and initials): __________________________________________________
(M/F/other)
INSTITUTION: ______________________________________________________________
ADDRESS:___________________________________________________________________
______________________________________________________________________________
_____________________________________________________________________________
Tel: ______________________
Email: ___________________________________
Special dietary requirements:
June 30th 2012.
2012, at 1230 hrs. The programme will start at 1400 hrs. The Conference will conclude on
Thursday 12th July 2012, at 1400 hrs.
Contact:
Andrew Brower Latz ([email protected])
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