The Fourth York Cultural History Conference

Registration

To register for the Fourth York Cultural History Conference: Cultures of Violence, please complete the following form and click the 'Buy Now' button at the bottom of the form. Credit cards can be accepted via Paypal, although users new to Paypal must sign up for an account (a free service).

Users with earlier browser versions may experience problems using this form. Please print and mail form if problems arise.

Step 1: Your details

Step 2: Conference Costs

Instructions:
1. Complete details below
2. Complete 'Conference Costs' opposite & click 'Calculate Costs' button
3. Click 'Submit Details' button below to send details
4. Click 'Buy Now' to pay via Paypal (or print form to send with cheque)
If you have nothing to pay, just click the 'Submit Details' only

Title: Other Title (please state):

Name:
Affiliation:

Postal Address:
Street address 1:
Street address 2:
Street address 3:
Post Town/City:
Postcode:

E-mail Address:

Conference Fee

Waged Delegates	£30
Students & Unwaged Delegates	£10
University of York Students & Staff	free
Sub-total:

Food

Friday 22nd April - Lunch	£7.50
Friday 22nd April - Dinner (Drinks incl.)	£25.00
Saturday 23rd April - Lunch	£7.50
Sub-total: Dietry Requirements:

* This form will automatically send your registration details to us. However, if an email is opened containing the information you have entered in this form, please just 'send' the mail (our address will already be in the address line).

To pay via cheque rather than credit card, please print the completed form and send with payment to the address below. Alternatively, save this webpage and send as an attachment to cmg114@york.ac.uk and send cheque seperately.

Dr S. Carroll
Department of History
University of York
Heslington
York
YO10 5DD

University of York, Dept. of History
Page last updated: 29th October 2004
Email: cmg114@york.ac.uk
Website: Patrick Gibbs