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THE GYPSY LORE SOCIETY Annual Meeting Information2004 ANNUAL MEETING ACCOMMODATION RESERVATIONS Please use this form to reserve your room in Henderson Hall. Indicate what nights you will be staying and what type of accommodation you need. You must include payment with your reservation. Please mark all applicable boxes. [ ] Thursday 2 September 2004
[ ] Standard: £23.00 per person per night
[ ] Friday 3 September 2004
[ ] Standard: £28.75 per person per night TOTAL ENCLOSED: ________________ Send this form with your payment to: 2004 Conference, Gypsy Lore Society (Dr. Colin Clark)School of Geography, Politics and Sociology University of Newcastle upon Tyne Claremont Bridge Building, Claremont Road Newcastle upon Tyne England NE1 7RU Fax: +44-(0)191-222-7497 PAYMENT INFORMATION: Credit card payment is preferred. Checks drawn on a UK bank are acceptable; make out the check to The University of Newcastle upon Tyne. [ ] Personal check drawn on a UK bank[ ] Bank cashier's check [ ] International money order [ ] VISA [ ] MasterCard [ ] American Express
Card # __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ NAME: ____________________________________ ADDRESS: ______________________________ TELEPHONE: ______________________________ FAX: ______________________________ EMAIL: ______________________________
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| Revised: 04/19/2004
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