Conference registration form (PDF) - 25th Ezra Pound International ...

25 TH EZRA POUND INTERNATIONAL CONFERENCEUniversity of Dublin, Trinity College and Mater Dei Institute9-13 July 2013. Conference, Walking Tours & ExcursionREGISTRATION FORMPlease fill out this form and send by mail or email attachment by 15 April 2013 tojgery@uno.edu , or to John Gery, EPIC, Department of English, University of NewOrleans, New Orleans, LA 70148-2315 USA.Name(s): ______________________________________________________________Address: (Street) _________________________________________________________(City, State, Country, Postal/Zip Code)________________________________________Affiliation (for Conference Program):_________________________________________Email Address:REQUIRED PAYMENTS: Early registration by 15 April (Full fee after 15 April):___ Participants: €75/ $90/ £65 (Full fee: €120/ $150/ £100)(with or without paper)___ Partners/Companions: €50/ $60/ £40 (Full fee: €75/ $100/ £60)___ Graduate Students: €50/ $60/ £40 (Full fee: €75/ $100/ £60)_______________OPTIONAL:___ Tues, 9 July, 10am: Tour of Trinity College: €10/ $12/ £ 8_____---___ Tues, 9 July, 2pm & 4pm: The Pound Guide to Dublin 0.00___ Tues, 9 July, 8pm: Get-together at The DukeCash Bar___ Fri, 12 July, 8:00pm: Conference Dinner at the Gresham Hotel€45/ $55/ £36 per person ________ Sun- Mon, 14-15 July: Bus Tour to Sligo (includes bus, entrance feesand B+B at the 4* Glasshouse Hotel (double occupancy; singlesupplement €25)€140/ $170/ £112 ____TOTAL AMOUNT REMITTED: (Indicate € / $ / £ ) _____

METHODS OF PAYMENTThe discounted early registration fee €75/ $90/ £65 (Graduate Students/Partners: €50/$60/ £40) for all who wish to attend sessions and special events is due by 15 April2013. After that date, the full registration cost will be charged. This fee covers use ofconference facilities at Trinity College and Mater Dei, poetry readings, coffee breaks andthe wine reception on 10 July.On the registration form, please tick the optional events and excursions for whichyou wish to make reservations, and add the stated amount as appropriate, according tothe number of persons and the event. FOR ALL PARTICIPANTS: Please send a copyof your completed registration form by 15 April 2013, by email to jgery@uno.eduor by regular post to:John Gery/Ezra Pound International ConferenceDepartment of EnglishUniversity of New OrleansNew Orleans, LA 70148-2315 USA$$$$ If you wish to pay in dollars, please send a completed copy of the RegistrationForm together with a check made out for the total amount in dollars to “Ezra PoundInternational Conference” (or “John Gery”) by 15 April 2013 to the above address.££££ If you wish to pay in pounds sterling, please send a completed copy of thisRegistration Form together with a sterling cheque for the total amount made out to“Walter Baumann” and send by 15 April 2013 to:Walter Baumann42 Northland RoadLondonderry, Northern IrelandBT48 7ND€€€€ If you wish to pay in euros, please send a copy of this Registration Form togetherwith a eurozone cheque or draft for the total amount made out to “Stephen Matterson”and send toStephen MattersonSchool of English, Trinity CollegeDublin 2, IrelandYou may also choose to pay by interbank electronic transfer.Bank details: Danske Bank Ireland, Personal Banking Centre, 1 Airton Close,Tallaght, Dublin 24, IrelandAccount name: Stephen MattersonSWIFT DABAIE2DIBAN IE16DABA95150111138367If you decide to pay by bank transfer, please make sure any fee is paid by the sender.Notify Stephen Matterson by e-mail at smttrson@tcd.ie of the transfer, and send a copyof the bank form by e-mail attachment or fax (+ 353 1 671 7114).