Name ___________________________________________________________________________
Address line 1 ____________________________________________________________________
Address line 2 ____________________________________________________________________
City _______________________State/ Province
________________ Post Code ______________
Country _____________________E mail _______________________________________________
Conference Registration
Conference Registration, Regular
In UK pounds 30 ..........................................................................................................____________
UK pounds
In US dollars 55.... .....................................................................................................................................
US $____________
Conference Registration, Student
In UK pounds 15 .........................................................................................................___________
UK pounds
In US dollars 25 ..........................................................................................................................................US
$____________
Cavendish Society Membership Regular (required)