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Performing Presence
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Performing Presence: from the live to the simulated26-29 March 20009DELEGATES BOOKING FORMRegistration Opens 1 December 2008. Booking forms should be returned no later than 31 January 2009
(Please tick appropriate fee) Delegate fee £160 Student fee £100 University ensuite B&B accommodation Thursday 26 March 2009 £55 University ensuite B&B accommodation Friday 27 March 2009 £55 University ensuite B&B accommodation Saturday 28 March 2009 £55
Total fees payable £_________
If you require accommodation on 28th or 29th March, please contact the Conference Administrator PAYMENT ARRANGEMENTS: (Payment must be made at time of booking) Please tick method of payment. My cheque is enclosed. Cheques must be made payable to: The University of Exeter. My credit/debit card details are enclosed (please fill in the Credit/Debit Card authorisation form); Please note we cannot accept American Express and there is £2 surcharge if you pay by credit card; (Please tick appropriate box) PLEASE COMPLETE DETAILS BELOW
Full Name: ....................................................................... Affiliation: ....................................................................................... Name as it should appear on badge (if different) ...................................................................................................................... Address: ...................................................................................................................................................................................... ...................................................................................................................................................................................................... ...................................................................................................................... Post Code: ............................................................ Telephone: .................................................................................... Mobile: ............................................................................... Email: ....................................................................... If you have any special dietary requirements, please give full details: ....................................................................................................................................................................................................... For enquiries relating to registration and accommodation, please contact the Conference Administrator Linda Dowsett, email: l.m.dowsett@exeter.ac.uk Tel: 01392 262332 Your completed booking form and payment should be returned no later than 31 January 2009by post to: Linda Dowsett, Department of Drama, Thornlea, New North Road, Exeter. EX4 4QH UK.
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Credit Card Payment Form Performing Presence - From the Live to the Simulated AXAB: - 1-AXAB6011-08720.
PLEASE PRINT THIS FORM AND RETURN IT WITH YOUR BOOKING FORM CREDIT/DEBIT CARD AUTHORISATION
Card Holders Name : ____________________________ Signature : ____________________________________________ Card Number : __________________________________________ Start Date : ______________________ Expiry Date : ___________________ Debit Card Issue No. (if applicable) ________ Security Number (last 3 digits of number on signature strip) : ______________ Cardholders Address : _________________________________________________________________________________ __________________________________________ Post Code : __________________ Cardholder's Telephone Numbers : _____________________________ Mobile : __________________________________
Amount authorised to be paid using the card details (please add on £2.00 credit card fee) Total: ____________________________________ Please confirm total in words : ________________________________
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