‘Fashioning the Archive:
new approaches to materialising textile history’
Goldsmiths, University of London
11 January 2014
BOOKING FORM
Please note: to make a booking you must complete this form and make the relevant payment via one of the methods detailed below.
The completed form should be returned no later than December 30 2013 either by email to:
or in hard copy to:
V. Richmond, Department of History, Goldsmiths, University of London, New Cross, London SE14 6NW
Please contact if you have any queries
NAME:
EMAIL:
Please tick the box if you DO NOT wish your email address to be included on the delegate list included in the conference pack
INSTITUTION (if applicable):
Please detail any special dietary requirements
STANDARD RATE (includes refreshments throughout the day and lunch) / £28.50 / ☐
POSTGRADUATE (PG) We regret that all the reduced-rate postgraduate student places have now been allocated and Postgraduate delegates will be charged the standard rate.

Please sign and date the form, then complete payment details:

Signed______Date ______

PAYMENT:

Payment can be made by cheque, credit/debit card or bank transfer. Please tick your chosen payment method below and enclose payment/complete details as applicable. Receipts will be issued at the Conference. If you require a receipt before then, please email

I enclose a cheque, payable to Goldsmiths College ☐

I will pay by bank transfer to: ☐

Goldsmiths College

National Westminster Bank, 65 Peckham High St, London SE15

General account number 10912878 sort code 601616

If international accounts:

Bic/swift NWBK GB 2L

iban GB94 NWBK 6016 1610 9128 78

Please quote reference: Pasold F103310

I wish to pay by credit/debit card and have inserted the details below ☐

PAYMENT BY CREDIT/DEBIT CARD
Type of credit/debit card: e.g. Visa, Mastercard (Please note that we DO NOT accept American Express or Diners Club.)
Full name as displayed on the card
Card number (long number in the centre of the card)
Card issue date (mm/yy)
Card expiry date (mm/yy)
Debit card issue number
Security number (last 3 digits on back of card)
N.B. Payment will be withdrawn upon receipt
By signing this form you are giving permission for Goldsmiths College to deduct £ 28.50 from your card for your Pasold Conference booking fee.
IF your card is not issued in the UK, the transaction will be in your own currency and will be based on Reuters Wholesale Interbank exchange rate plus 3% international conversion margin to replace the charge from your card company. If your card is not issued in the UK and you choose to pay in GBP then please tick this box ☐. You will be subject to a conversion fee or charge by your card company related to the value of the transaction.
Signed:
Date:
N.B. The person signing this form must be the card holder. If you are sending this form via e-mail and not able to provide a signature on the form, then please state in the email that Goldsmiths College is authorised to deduct the above amount.