To Register for the 2010 Winter School please print this page, complete
the following information, tick where applicable in the right hand column,
and mail it to Mrs Fiona Gravil, WWS, Tirril Hall, Tirril, Penrith CA10 2JE, UK.

Before completing the accommodation section of this form please confirm availability
of your room choice by contacting us on wordsworth_conferences@hotmail.co.uk

Name(s):

 

  

Postal Address:

 

 

 

  

Email address:

  

Telephone:

  

Please add my/our address and email address to the participants list

  

Please reserve double / single / twin accommodation.
Hotel superior / Hotel standard /  Grasmere Lodge Standard / Basic (shared bathroom).
An apartment for use by 2 people; an apartment for use by 3 people.
[Please underline one option in each line]

  

Please issue an electronic invoice for accommodation via Google Checkout

  

I /we will be attending the Winter School on a non-resident basis

  

I /we would like transport from Oxenholme on Mon 22 Feb (£10)

  

I /we would like transport to Oxenholme on Sat 27 Feb (£10)

  

I/we enclose a sterling cheque for a £75 deposit or resident conference fee of £130 (£117 for Friends) payable to Wordsworth Summer Conference

 

I/we have paid my deposit / registration fee(s) / accommodation online by Google Checkout / Bank Transfer (include your name as a reference on bank transfers)

  

Please issue an electronic invoice for accommodation to the above email address

  

I accept responsibility for accommodation charges incurred on my behalf

 

Dietary requirements:

 

Signed:

 

  

Please print this form, sign it, and send it with your fee (if paying by cheque) to the address above