ACCOMMODATION-BOOKING by asafwewe

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ACCOMMODATION-BOOKING

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									                                                  REGISTRATION                                         FORM
                                              4th Pan-European Conference on EU Politics
                                                                  25-27 September 2008


REGISTRATION FEES
                                        €120 FULL FEE
                                        €70 STUDENT FEE (please include a copy of your student card with your
                                           registration)


REGISTRATION FEES WILL BE INCREASED AFTER 1ST JULY 2008 TO:
                 €150 FULL FEE
                 €90 STUDENT FEE


                                                           PARTICIPANT INFORMATION
      Contact details of participant




                                                Name:
                                                Institution:
                                                Address:
                                                Postcode:
                                                Country:
                                                Telephone:
                                                Fax:
                                                Email:




                                                               CANCELLATION POLICY
                                          Cancellations received up to 3 months prior to the conference will be charged 50% of the total
                                           invoice value.
                                          Cancellations received within a period of 3 months to 1 month prior to the conference will be
                                           charged 75% of the total invoice value.
                                          Cancellations received 1 month prior to the conference will be charged 100% of the total invoice
                                           value.
                                               INVOICE DETAILS
 If you require an invoice to make the payment, please complete this section and an invoice will be sent out
       Contact details on



                            Name:
                            Institution:
            invoice




                            Address:
                            Postcode:
                            Country:




                                              PAYMENT DETAILS

You can pay by cheque or by credit card. If you would like to pay via direct bank transfer, please contact
ECPR Central Services.


I am paying by cheque:

Cheques (in Euros or Sterling equivalent) should be made payable to “European Consortium for Political
Research” and sent to ECPR Central Services together with your completed registration form.


I am paying by Credit Card:



Total amount to debit:                 €0
                                       (click in box to expand)
Please debit my:                       card type *
                                       (click in box to expand)
Card number (16 digits):
Security code (3 digits):              Please send this information separately to the ECPR
Expiry date:                           Please send this information separately to the ECPR
Name of Cardholder:
Signature of Cardholder:
(if faxing/posting)

                                                 *no other cards can be accepted

                            [ECPR USE ONLY: INCOME CODE PE91PP4000]
                                  You must send this completed form to:
      Post: ECPR Central Services, University of Essex, Wivenhoe Park, Colchester, Essex, CO4 3SQ, UK
                      Email: ecpr@essex.ac.uk                 Fax: 0044 1206 872500


If you do not receive an acknowledgement from ECPR Central Services within 7 days of sending this form, please
                                           contact us immediately

								
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