The Paris Fine Art Salon, 1791-1881

The Paris Fine Art Salon, 1791-1881

University of Exeter
4-6 September 2013

DELEGATE REGISTRATION FORM

Please note that the early bird booking deadline is 30 June,

after which all bookings will be at the standard fee

PERSONAL DETAILS

Full Name (for conference badge): ______

Address: ______

______

Telephone: ______Email: ______

Institution:______

Dietary requirements: ______

Access requirements:______

Gala Dinner menu choice (Starter/Main/Dessert) ______

Name of person sharing your B&B accommodation and their Gala Dinner menu choice (where

appropriate): ______

______

FURTHER INFORMATION

For queries relating to registration and hospitality, please contact the College of Humanities Research Office by email at or by phone on +44 (0) 1392 724204or 725494.

Your completed booking and payment forms should be sent by post to: The College of Humanities Research Office, Queen’s Building, Queen’s Drive, University of Exeter, Exeter, EX4 4QJ.

FULL CONFERENCE FEE (residential)

Covers admittance to all presentations, buffet lunches and refreshments, dinner on Wednesday at Lopes Hall, the Gala Dinner (with waiter service and drinks) on Thursday at Lopes Hall, and single occupancy en-suite B&B accommodation at Pennsylvania Court on Wednesday and Thursday nights.

Standard£270PG/Retired£215

Double occupancy is available on payment of a supplement of £30 for the 2 nights.* £30 

FULL CONFERENCE FEE (non-residential)

Covers admittance to all presentations, buffet lunches and refreshments.

Standard£125PG/Retired £85

DAY-DELEGATE CONFERENCE FEE(per day)

Covers admittance to presentations, buffet lunches and refreshments on the day indicated

Wednesday/Thursday/Friday(Please delete as appropriate)

Standard £50PG/Retired£35

ACCOMMODATION - for delegates not booking the full residential package*

B&B en-suite accommodation: Tues 3 September 2013Single £45Double £60

B&B en-suite accommodation: Wed 4 September 2013Single £45Double £60

B&B en-suite accommodation: Thurs 5 September 2013Single £45Double £60

Dinner (Wed 4 Sept) – for non-residential delegates or partners£25

GALA DINNER (Thurs 5 Sept) – for non-residential delegates or partners£45

Standard registration supplement (for bookings made after 30 June 2013)£25

Please add £2 surcharge if paying by credit card £2 

Total fees payable £______

PAYMENT ARRANGEMENTS: Payment must be made at time of registration

Receipt of payment will be sent to the address on the registration form unless otherwise stated.

My cheque is enclosed. Cheques payable in pounds sterling to The University ofExeter. 

My debit/credit card details are enclosed (please fill in the Credit Card Authorisation Form). Please note we cannot accept American Express and there is £2 surcharge if you pay by credit card. 

* Double occupancy B&B is available, supplement £15 per night. We will need to know the name of the person you are sharing with and any dietary or access requirements (please insert this information in the personal details section of the form). The double occupancy supplement does NOT include attendance at the conference or any evening meals for your partner. If your partner is also attending the conference, please contact us for the appropriate fee.

CREDIT/DEBIT CARD AUTHORISATION ONLY

Please note that the University would prefer payment by UK credit card (MasterCard or Visa) or UK debit card (Maestro, Solo, Connect, Electron etc). Card payments over £1000.00 may be subject to security questions by the card user.

Card Holders Name ______

Card Number

Start Date ______Expiry Date ______Debit Card Issue No. (if applicable) ____

Security Number (last 3 digits of number on signature strip)

Cardholders Address ______

______

Postcode

I authorise the University of Exeter to charge my credit/debit card with the amount of £______

Signature of card holder ______Date: ______

Cardholder’s Telephone No. ______

Delegate Name ______

Course/Conference Name ______

1-SX-D-F82-121-USX04-A400-PWSX041