Programme

Invoice Request | Life Beyond the PhD

Please use this form if you wish to request and pay by invoice. Use the Registration Form (available via the Event Page) to pay by PayPal or cheque.

For all registration enquiries, please email our Conference Co-ordinator, Janis Reeves, or call on 01784 497 794.

By submitting this form you are agreeing to our Terms and Conditions.

Delegate Details

Delegate Title

Delegate Name *

Delegate Research Status (i.e. year of PhD) *

PhD Title

University and Department *

Delegate Address

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Town
County
Postcode
Country

Delegate Telephone Number

Delegate Email Address *

Delegate Twitter address (if applicable)

The delegate's name and organisation will appear in the Conference Handbook. To exclude their email address, please tick this box.

The delegate's name will be added to the Cumberland Lodge mailing list to keep them informed about future conferences. Details will not be made available to external organisations. Please check this box to opt the delegate out of our mailing list.

Please help us by indicating how you heard about this event *

Registration

Please select the appropriate rate. Conference fees include all meals and accommodation *

Single Occupancy £325
Shared Accommodation £225
Non-Residential £125

Please specify any special dietary or physical mobility needs:

Invoice Information

Invoice to be addressed to *

Invoice to be sent to *

Line 1 *
Line 2
Town *
County
Postcode *
Country

Purchase Order Number *

Your email address *

We will use this to contact you if there are any queries relating to the invoice