European Symposium on Photomorphogenesis
University of Leicester 12 - 18 July 1997
Accommodation Booking Form
Title: [ ] Prof [ ] Dr [ ] Mr [ ] Ms [ ] Male [ ]Female Surname ........................................................ Forename ........................................................ Company/Institute ........................................................ Mailing Address ........................................................ Zip Code ........................................................ Country ........................................................ Telephone No. ........................................................ FAX Number ........................................................ ........................................................
Name of Hall of Residence Please tick 1st choice Cost per delegate
UK £ sterlingTick for Extra Night Extra Night
UK £ sterlingTOTAL UK £ sterling BOWDER COURT £225 £36 STAMFORD HALL £185 £29 Do you need special assistance or special arrangements for facilities? If so, please give specific information (e.g. dietary requirements/disabled)
Please tick if you wish to receive details of hotel accommodation:
PAYMENT OPTIONS
I enclose a cheque for £_________
Please charge £ _____________ (including 3% service charge) to
[ ] MasterCard [ ] Visa Expiry Date
Card Number
Name ___________________________
Signature ___________________________
As it appears on the Card
Address of Card Holder:
Accommodation charges MUST be paid in FULL by 12th June 1997. Accommodation is limited so please book early to avoid disappointment.
Please mail or fax this form to: ESOP Conference Office, Department of Botany, University of Leicester, Leicester. LE1 7RH. UK Fax +44 (0)116 2523381