REGISTRATION FORM

Modes of Transport: Travel Writing and Form, 1780-1914

King’s College London, 26 & 27 May 2011

Please complete this form and return via email to travelconference@gmail.com by Friday 6 May.

Conference rates are listed below. Please pay by credit card using the PayPal button on the website
(http://travelconference.blogspot.com) or send a cheque (GBP only) made payable to ‘Mary Henes – Travel
Conference’ to the following address:

Mary Henes
English Department
Room S2.33
Strand Building
King’s College London
Strand
WC2R 2LS

Please indicate registration option by ticking the appropriate box. The conference dinner will take place on the
evening of Thursday 26 May.
Non-Concession:
1 Day £20 Student:
2 Day £30 1 Day £10

1 Day + Dinner £40 2 Day £15

2 Day + Dinner £50 1 Day + Dinner £30

2 Day + Dinner £35
If you are registering for 1 day, please indicate whether you will be attending on:

Thursday 26 May
OR
Friday 27 May

Registration fee includes: refreshments and lunch and, if attending on Day 1, drinks reception at the Maughan
Library.
PLEASE USE CAPITALS (*please delete as appropriate)

Contact Details

Title: Professor/Dr/Mr/Mrs/Miss/Ms* Full Name: ______________________________________________

Address :____________________________________________________________________________

____________________________________________________________________________
_____

____________________________________________________________________________
______

Postcode: ___________________________ Daytime Telephone Number: _____________________

E-mail Address:____________________________

Name of Institution (If applicable):________________________

Dietary Requirements

Additional Requirements – (e.g. mobility difficulties, etc.)

Payment Method:

Cheque Cheque made payable to ‘Mary Henes – Travel Conference’ £______

PayPal via Website http://travelconference.blogspot.com/p/registration.html £______

Please return the form via email to travelconference@gmail.com by Friday 6 May 2011

Further information, including directions, is available at http://travelconference.blogspot.com/