SADEQ
HEDAYAT CENTENARY CONFERENCE
Registration
I wish to register for
the conference
__
Full registration
25 Pounds
__
Concession rate
15 Pounds
(Concessions for
students only subject to presentation of proof. Payments without
proof of concessionary status will be returned)
Registration fee is
exclusive of lunch
Method of payment
__
Cheque (payable to IRAN HERITAGE FOUNDATION)
__
Credit card Please debit my credit card (VISA, Mastercard and
AMEX only; delete
as appropriate)
Cardnumber
____________________________
Expiry date
____________________________
Name
on card __________________________
Signature
____________________________
Please fill in your
name and address in block capitals
Name____________________________
Address___________________________
_________________________________
City_____________Postcode__________
Country___________________________
Tel______________________________
Fax______________________________
E-mail
___________________________
Please
print and return this form, with UK cheque, banker’s draft in
UK sterling or credit card details to: Hedayat Conference, Iran
Heritage Foundation, 4 Stanhope Gate, London W1K 1AH. If paying
by credit card you can also fax your registration to 020 7493
9293.
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