WWS Registration

To Register for the 2012 Winter School please print this page, complete
the following information, tick where applicable in the right hand column,
and mail it to Mrs Fiona Gravil, WWS, Tirril Hall, Tirril, Penrith CA10 2JE, UK.

Before completing the accommodation section of this form please confirm availability
of your room choice by contacting us on wordsworth_conferences@hotmail.co.uk

Name(s):

 

  

Postal Address:

 

 

 

  

Email address:

  

Telephone:

  

Please add my/our address and email address to the participants list

  

Please reserve double / single / twin accommodation for £300 / £330 / £350 / £380
[Please circle one style and one price]

  
Please register me at the inclusive student rate (my tutor will confirm my status)  

Please issue an electronic invoice for accommodation via Google Checkout

  

I /we will be attending the Winter School on a non-resident basis

  

I /we would like transport from Oxenholme on Mon 20 Feb (£10)

  

I /we would like transport to Oxenholme / Windermere on Sat 25 Feb (£10)*

  

I/we enclose a sterling cheque for £150 conference fee (£135 to Members & Friends)
or £........ in full payment payable to Wordsworth Conference Foundation

  

I/we have paid my conference fee by Google Checkout / Bank Transfer (include your name as a reference on bank transfers)

  

I accept responsibility for accommodation charges incurred on my behalf

 

Dietary requirements:

 

Signed:

 

  

Please print this form, sign it, and send it with your fee (if paying by cheque) to the address above

  

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