Swansea University
COLLEGE OF ARTS AND HUMANITIES
CONFERENCE REGISTRATION FORM
The Medieval and Early Modern Garden: Enclosure and Transformation
Venue: Margam Building 311 (Thursday)/ Wallace Lecture Theatre (Friday), Swansea University
Date: 4 - 5 June, 2015
Name: ____________________________________________________________________
Address ____________________________________________________________________
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Daytime Telephone: __________________________________________________________
Email Address: _______________________________________________________________
Institutional Affiliation: ________________________________________________________
Please indicate any special requirements (diet, mobility etc.): _________________________
Please tick your requirements
Whole conference (including
refreshments on Thursday 19th and
lunch and refreshments on Friday
20th June
Day 1 only (Workshop; PG session;
refreshments).
Day 2 only (9.00am – 7.00, including
lunch and reception)
Conference dinner
£
Staff/waged
50.00
√
£
Student/Unwaged
25.00
15.00
10.00
35.00
15.00
25.00
10.00
TOTAL PAYMENT
Payment Method (all transactions will be in Pounds Sterling). Please tick one of the options below:
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□□□.□□ payable to Swansea University
£ □□□.□□
Payment by cheque: I enclose a cheque for £
Payment by cash:
Payment by credit/debit card (the amount indicated under ‘Total Payment’ will be debited to this card.
Note that credit card payments will incur a 1.5% charge. Debit card payment is free.
(Office use: Conference Code HMZ.033.243)
Card number:
Expiry:
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Security Code (last three digits):
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Cardholder name and address:----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Signature:---------------------------------------------------------------------Date---------------------------------Please return your completed form with payment no later than Friday, May 15th 2015 to:
Dr Eoin Price, College of Arts and Humanities, Swansea University, Swansea SA2 8PP, UK
Tel: 01792 602394
Email: eoin.price@swan.ac.uk