
To Register for the
2009 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* Superior / Hotel standard / Grasmere Lodge Standard / Basic (shared bathroom).* [Please underline one option in each line and see prices below] |
|
| 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 16 Feb (£10) | |
| I /we would like transport to Oxenholme on Sat 21 Feb (£10) | |
| I/we enclose a sterling cheque for a £75 deposit or full conference fee of £125 (£112.5 for Friends) payable to Wordsworth Summer Conference | |
| I/we have paid my deposit / registration fee(s) / accommodation online by Google Checkout / Bank Transfer (include your name as a reference on bank transfers) | |
| Please issue an electronic invoice to the above email address | |
|
Signed:
|
|
| Please print this form, sign it, and send it with your fee (if paying by cheque) to the address above |