LowCountriesSculpture.org 

Society founded in 2002 for the study and preservation of sculpture from the Low Countries

 

Registration Form
 for the International Conference at Mons, 7-10 March 2008

Please note the closing date for applications : 3 March 2008

Your payment must be received at the latest on this day

 

Anything unclear about filling in this form? Please send us an email:

 

Please enter your details:

Title, Surname, First Name   
Institution, if any, for the badge   
Postal Address   
Postcode and City  
Email   

---------------------------- Conference participation ---------------------------------

I wish to register for:

 the Conference Dinner on 7 March (€39, three course menu, drinks included)

tick here for a vegetarian menu

 the conference on Saturday 8 March (€25 for both days/for one day €15)

students or unemployed reduced rate for both days €10

(please send proof of status by email)

lunch on Saturday 8 March (€11)

 the conference on Sunday 9 March (as above)

 lunch on Sunday 9 March (€11)

the excursion on Monday 10 March (€35, entrance fees and three course lunch, drinks included)

tick here for a vegetarian menu

Please enter your subtotal here:  

   

---------------------------- Hotel or Youth Hostel Reservation ---------------------------------

 

Room reservations at the Ibis hotel, boulevard Charles Quint 27bis, Mons 

(taken until 10 February) – the rooms are to be paid for directly to the hotel

single room (€71 breakfast included) for the night from 7 to 8 March   double room (€83 breakfast included) for the night from 7 to 8 March
single room (€71 breakfast included) for the night from 8 to 9 March   double room (€83 breakfast included) for the night from 8 to 9 March
single room (€71 breakfast included) for the night from 9 to 10 March   double room (€83 breakfast included) for the night from 9 to 10 March

 

Bed reservations at the youth hostel, rampe du chβteau 2, Mons

(taken until 10 February, NB all the rooms have private facilities.)

– The cost is to be paid to the Society, to be included in the total below.

bed in a double room (€23 breakfast included) for the night from 7 to 8 March

    bed in a triple/quadruple room (€18 breakfast included) for the night from 7 to 8 March
bed in a double room (€23 breakfast included) for the night from 8 to 9 March   bed in a triple/quadruple room (€18 breakfast included) for the night from 8 to 9 March
bed in a double room (€23 breakfast included) for the night from 9 to 10 March   bed in a triple/quadruple room (€18 breakfast included) for the night from 9 to 10 March

Please enter your youth hostel subtotal here:     

Any comments?

 

 

---------------------------- Membership LCS ---------------------------------

 

 I wish to become a member/renew my membership of the Low Countries Sculpture Society: single online membership 2008 at € 15 p.a.

 We wish to become members/renew our membership of the Low Countries Sculpture Society : double online membership 2008 at € 25 p.a.

I wish to become a member/renew my membership of the Low Countries Sculpture Society : single membership with postal communications 2008 at € 30 p.a.

 We wish to become members/renew our membership of the Low Countries Sculpture Society : double membership with postal communications 2008 at € 40 p.a.

 I wish to become a member/renew my membership of the Low Countries Sculpture Society : institutional/ supporting membership 2008 at € 150 p.a.

Please enter your membership here:   

  

---------------------------- Payment ---------------------------------

 

Please enter your overall total here:     

 

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If you have chosen to pay by credit card, and after having submitted this form, please go to the secure payment function in the main menu, to pay the above total.

 

I have printed off this application form for my records and accept the terms and arrangements offered herein.

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