Prokofiev 2003 symposium registration form

Please fill in the details and fax to : +44 20 7919 7255, or post to: Noëlle Mann, The Serge Prokofiev Archive, Information Services, Goldsmiths College, University of London, London SE14 6NW, UK

Personal Details

First Name: Surname:

Affiliation:

Postal address:

Postal Code: City: Country:

Phone: + Fax: +

E-mail address:

Select appropriate box, number of meals and Dinner, and enter total amount

Registration Fees:

NB. Registration is free of charge for staff and students from the Royal Northern College of Music and the University of Manchester. They MUST however register.

Registration Before 7 January 2003
Full Conference Fees

non-studentGBP 60

*Prokofiev Association MemberGBP 45

*student & OAPGBP 25

Half Day Fees

non- studentGBP 15

*Prokofiev Association MemberGBP 12

*student & OAPGBP 7

Registration After 7 January 2003

Full Conference Fees

non- studentGBP 80

*Prokofiev Association MemberGBP 60

*student & OAPGBP 33

Half Day Fees

non- studentGBP 20

*Prokofiev Association MemberGBP 16

*student & OAPGBP 9

Total registration fees: GBP ______

Meals:

Requested number of lunches at GBP 5.50 ______

Requested number of tea/coffee at GBP 0.60 ______

Total cost for meal vouchers: GBP ______

Symposium Dinner:

Requested number of tickets at GBP 37 (delegate) ______

Requested number of tickets at GBP 50 (non-delegate) ______

Total cost for Symposium Dinner tickets: GBP ______

Total Amount Payable: GBP ______

NOTES: *Students and OAPs should include a proof of their status with their registration form and payment. Association Members should quote their membership number. Full Conference fee includes attendance to all sessions, keynote address by Sir Peter Ustinov and RNCM public events. Full delegates are also eligible for discounts for most concerts during the Festival  Dinner tickets will be booked on a first-come-first-served basis.

Please select a method of payment. Regretfully payments by credit or debit cards cannot be accepted.

Payment by Cheque(drawn in £ sterling on a UK bank)

I enclose cheque to pay the amount of GBP ______

Cheques made payable to “The Serge Prokofiev Association”

Payment by Bank Transfer

I have transferred the total amount of GBP ______to the following account:

The Serge Prokofiev Association

Account number: 0882698

Sort code: 30-91-59

Bank: Lloyds TSB

Address: Cannon Street Branch, 83 Cannon Street, London EC4N 8DL, UK

Fax this form to : +44 20 7919 7255 or post it with your payment to:
Noëlle Mann, The Serge Prokofiev Archive, Information Services,

Goldsmiths College, University of London, London SE14 6NW, UK

IMPORTANT

Registrations will not be processed until payments have been received.

Please keep a copy of this form for your own reference. Confirmation will be issued by e-mail.

If you do not have an e-mail address, please include a self-addressed envelope.

Webpage Listing of Delegates

Once registration has been processed your name will be included on the Symposium Webpage.

Please tick this box if you do not want your name to appear on the list. 