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IRAN
AND THE WORLD IN THE SAFAVID AGE
Conference
Registration Form
I
wish to register for the conference
o
£50 - Full registration
o
£40 - Affiliate/Members of CNMES and Academics:
o
£25 - Concession rate
(Concessions
subject to presentation of proof. Payments without proof of
concessionary status
will be returned)
Registration
fee is inclusive of lunch
Method
of payment
o
Cheque (payable to SOAS)
o
Credit card
Please
debit my credit card (VISA and Mastercard only)
o
VISA
o
Mastercard
Cardnumber
____________________________
Expiry
date
______
Name on card
____________________________
Signature
____________________________
Please
fill in your name and address in block capitals
Name_____________________________________
Address___________________________________
__________________________________________
City__________________Postcode_____________
Country___________________________________
Tel___________________Fax_________________
E-mail____________________________________
Please
print and return this form, with UK cheque, banker’s draft in UK
sterling or credit card details to: Safavid Conference, CNMES (SOAS),
Thornhaugh Street, Russell Square, London WC1H 0XG. If paying by
credit card you can also fax your registration to 020
7898 4329.
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