GĦILM 3rdInternational Conference on Maltese Linguistics

Malta: 08 – 10 April 2011

This registration form should be completed electronically and returned, preferably by email, to:

Ms Lucienne M. Bugeja

Conference & Events Co-ordinator,

University of Malta, Valletta Campus, OldUniversityBuilding, St. Paul Street, Valletta VLT 1216 – MALTA

Tel: (00356) 21 234571, (00356) 2340 7511

E-mail:

1. Personal Details

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Are you a student?Choose an item.

Are you presenting at the conference?Choose an item.

2. Privacy

The University of Malta recognizes your privacy rights under the Data Protection Act. Please indicate whether we can include your name in a pre-conference list of participants on the website and whether you have any objection to receiving material from the University of Malta in the future:

Yes, include my name on the website

No, do not include my name on the website

3. Optional Tour

On Saturday9th April 2011, there will be a visit to two Neolithic Temples by the sea, Hagar Qim which dates back to 2000BC and Mnajdra which dates back to 3400BC. Constructed solely of globigerina limestone, the temples stand high on the cliffs overlooking the islet of Fifla. This is followed by a walking tour through the narrow streets of Mdina and a visit to the imposing bastions to admire the panoramic view of the Island.

The tour costs €30 per person. Note that the tour will only be held if a minimum of 17 persons book it.

Yes, I would like to join the optional tour.

No, I wouldn’t like to join the optional tour.

4. Conference dinner

A conference dinner will be held onFriday,8th April 2011. The dinner is included in the registration fee for conference participants who have paid the full fee; for all other participants, the fee for the dinner is €40. If you would like to book non-conference participants, please indicate the number of persons and the total amount due in Euros below.

No of Persons:Click here to enter text.

Amount in Euros: €Click here to enter text.

5. Registration summary

Please ensure you have read the section Registration Fees on the main site before filling in the PAYMENT SUMMARY FORM. If you are a student, please indicate this in part 1 of this form.

Registration Fee: € Click here to enter text.

Optional Tour: € Click here to enter text.

Conference Dinner:€Click here to enter text.

(For accompanying persons)

Total: €Click here to enter text.

6. Payment

Please select your payment method below:

Payment method 1: Credit card

VISA

MASTERCARD

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(last 3 digits on back of card)

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Payment method 2: Bank transfer

Note: bank transfers are effected net of charges to the following bank account. Please quote GHILM as reference and quote the sort code and IBAN.

Name of Account holder: University of Malta

Bank Name: Bank of Valletta plc

Bank Account no: 4001886474-8

IBAN no: MT71 VALL 2201 3000 0000 4001 8864 748

Swift Code:VALLMTMT

Sort Code: 22688

Date of transfer: Click here to enter a date.

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