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Human and Health Sciences

“Bring Your Own Subtext”: Social life, human experience and the works of Joss Whedon

Conference Booking Form

Completion instructions

  1. Either complete the form onscreen and print it off, or print off the form and complete by hand.
  2. A separate form is required for each individual wishing to attend.
  3. Please return completed form via post (if paying by cheque) or fax to the address at the bottom of the page.
  4. Please return booking form by Friday 20th May 2005.
Title:
Name:
Discipline area:
Affiliation/institution:
Contact address:
 
 
 
Post/Area/ZIP Code
Telephone no.:
E-mail:

Conference Registration

(includes conference dinner on 30th June)

£190 £155 Concessions (students & unwaged)

Day Registration

£65 29 June £100 30 June £65 1 July
  Conference Dinner 30 June £25

Accommodation

All prices stated are per room per night

Ensuite student accommodation including breakfast
Single room: £40  
Huddersfield Central Lodge bed & breakfast accommodation
Single room: £41 Double room: £53
Huddersfield Hotel bed & breakfast accommodation
Single room: £46 Double room: £60
George Hotel bed & breakfast accommodation
Single room: £61.50 Double room: £71.50
Date(s) accomodation required: 28th June / 29th June / 30th June

Follow this link for further information about accommodation.

Total amount payable:

Conference fee:
Accommodation:
Total amount due:

Payment

Payment by
Credit Card

Card type: Visa Mastercard

Expiry Date:

Card number:

Payment by Cheque

Payment by cheque.
Cheques made payable to: University of Huddersfield Enterprises Ltd (UHEL)

Payment by Invoice

Payment by invoice.
A purchase form must accompany this registration form if you wish to be invoiced.

Miscellaneous

Car park space required
Please indicate any special dietary requirements:

Return the form to:

Mrs M E Senior,
Conference Administrator,
University of Huddersfield,
Queensgate,
Huddersfield,
HD1 3DH.
Direct tel: 01484 472130.
Direct fax: 01484 472481.
E-mail: m.e.senior@hud.ac.uk

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