Please print this page and send it to the address shown below with your remittance

DEHS Third Annual Symposium 2003

Clandestine Radio

Registration Form

I would like to reserve ..... place(s) at the DEHS Third Annual Symposium

on Friday, 12th September, 2003 at a cost of £12.00/£16.00 per person.

Remittance £ ...........

Please note that cheques will not be cashed until after the closing date.

Name ............................................................... Telephone ....................................

Address ......................................................................................................................

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Email......................................................................................................................................

Please return this slip as soon as possible, and not later than Friday, 29th August, together with your cheque (made payable to Bournemouth University) and a self-addressed envelope, to:

Sammantha Elsey, Office of Lifelong Learning, 1^st Floor; Royal London House, Christchurch Rd; Bournemouth, BH1 3LT.