REGISTRATION FORM

Last Name:

First Name:

Title:

Academic Institution:

Department:

Contact Address:

Email address:

Please include international codes in the following number:

Telephone:
Fax:
Emergency contact number:

If presenting a paper, its title:

Audio-Visual requirements:

Please note that for PowerPoint presentations we recommend that you use your own computer to avoid possible incompatibility problems.

Special needs requirements:

Conference Registration Fees (must be in Euro)

Presenting a paper:                                                                           €105

Students/concession:                                                                        €25

Other participants:                                                                             €45

Conference fee for speakers includes: receptions, refreshments (coffee/tea), and attendance at all cultural and social events (the conference dinner is not included).

Conference Dinner in TCD' Dining Hall (if attending) fee:     €50

Please indicate any special dietary needs:

For participants with a bank account in the Republic of Ireland payment should be by cheque or bank draft made payable to Trinity College No. 1 Account.

For participants outside ROI payment should be either by bank draft payable to Trinity College No. 1 Account or by bank transfer to Hispanic Studies, Trinity College No. 1 Account (sort code: 90-00-17); IBAN: IE92 BOFI 9000 1710 0279 52; Swift Code: BOFIIE2D; Bank of Ireland, College Green, Dublin 2, Ireland

I need a receipt for registration fee(s) [circle one]:                YES                 NO

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Signature                                                                                           Date

Cancellations must be submitted in writing. A refund of 70% will be made only if cancellation requests are received at the latest by 12th June 2009.

Please send the completed conference registration   form by 15th May with a copy of the bank receipt to Dr Susana Bayó Belenguer, Dublin University, Trinity College, Department of Hispanic Studies, Dublin 2, Republic of Ireland.

For further information please contact bayobels@tcd.ie (00 353 1 896 3496)