Institute of
School
of Advanced Study
Cricket: Dawn of a new world – growth,
development and commerce
1-3 March, 2007
Conference Registration Form
Please complete and return this form to
Conference Registration
Fees:
Please
tick the appropriate box
1-3
March early
booking before Wednesday 7 February £140
(£80 student concession rate) ¨
1-3
March booking
after Wednesday 7 February £160 (£95 student concession rate) ¨
1
day only £65
(£40 student concession rate) ¨
1-3
March Reduced fee
for ICwS Friends* £120 ¨
1-3
March Reduced fee
for ICwS students £60 ¨
Registration
fees cover administration costs, a copy of your conference pack, lunch and
coffee/tea breaks, and invitations to the evening receptions taking place during
the conference.
*Friends of the
Please tick if you are planning to
attend the evening receptions on Thursday 1 March ¨ Saturday 3
March ¨
Personal
Details
Full name: ___________________________________________________________________________________________________
Institution/affiliation
(if any): __________________________________________________________________________________
Job title and area of
research (if applicable): _________________________________________________________________________
Address*: __________________________________________________________________________________________________
___________________________________________________________________________________________________________________
______________________________________________________________Postcode:
____________________________________________
Telephone:
____________________________________________ Email:
__________________________________________________
Contact
details during the conference:
_________________________________________________________________________________
Payment
Details (*delete as appropriate)
* I enclose a sterling
cheque (drawn on a UK bank), made payable to ‘
* Please charge my
credit card / debit card the amount of £ ________________________________________________________
Type of card (Visa,
Mastercard, Solo, Maestro/Switch) ________________________________________________________
Card no _______________________________________________
Issue no (Switch/Solo) _______________________________________
Card expiry date
(MM/YY) ______________________________ Start date (if present) MM/YY) _______________________________
Name as stated on the
card __________________________________________________________________________________________
Cardholder’s billing
address __________________________________________________________________________________________
______________________________________________________________
Postcode: ____________________________________________
Issuing bank of card
(stated on reverse)
________________________________________________________________________________
I confirm that the
above details are accurate.
Please do not keep me
informed of future conference, publications and activities
¨
Signature
____________________________________________________________________ Date
_________________________________
Please
note that if your cheque is cleared/card is charged you are automatically
registered for this event. Please tick the box if you require a receipt ¨