| Name |
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Institution:
Address (including postcode)
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| Email: |
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| Research Interests: |
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| Speakers only: |
Do you require any equipment?
Yes/No
If Yes, please give details:
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| Do you require information about
accommodation? |
Yes/No |
| Do you have any special dietary requirements? |
Yes/No
If Yes, please give details:
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| Do you have any other requirements? |
Yes/No
If Yes, please give details:
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| Fee information: |
The fee is £25 / £17 (postgraduate), exclusive of the
conference dinner for which an additional charge of £20 is
required (see below).
Cheques should be made payable to the University of
Wolverhampton, and sent to the address below. Credit card and bank
transfer payments are accepted. For further information on these
forms of payment, please contact geaperkins@wlv.ac.uk.
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| Do you wish to attend the conference dinner? |
Yes/No
If Yes, there is an additional fee of £20, covering a 3-course
meal at The Crooked
House, a Blackcountry landmark.
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| Please return this form with your
payment to: |
Dr Benjamin Colbert
Department of Humanities
University of Wolverhampton
School of Law, Social Sciences and Communications
Millennium City Building
Wulfruna Street
Wolverhampton
WV1 1LY
B.Colbert@wlv.ac.uk
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