The Art and Material Culture of Iranian Shiism(Postal Registration Form) |
||
Places are limited and early registration is advisable.
I wish to register for the conference |
|
_____ Full rate |
30 GBP |
_____ Students |
10 GBP |
Student rates for full time registered students. Student rates subject to proof of status. Registration fee is not refundable. |
|
Payment by cheque only (payable to THE UNIVERSITY OF OXFORD) |
|
Please fill in your name and address in block capitals
Title |
_______________________________________________ |
First Name |
_______________________________________________ |
Last Name |
_______________________________________________ |
Institution |
_______________________________________________ |
Address |
_______________________________________________ |
City |
_______________________________________________ |
County/State |
_______________________________________________ |
Post/Zip Code |
_______________________________________________ |
Country |
_______________________________________________ |
Tel |
_______________________________________________ |
Fax |
_______________________________________________ |
_______________________________________________ |
Please print out this form and mail it with UK cheque, banker's draft in UK sterling to: Shiism Conference, c/o Ms.Mastan Ebtehaj, St. Antony's College, Middle East Centre, 68 Woodstock Road, Oxford OX2 6JF, 44 1865 284764 (tel), 44 1865 311475 (fax), mastan.ebtehaj@sant.ox.ac.uk