Please fill out all three parts of this form: Your Reservation, Your Remittance of Deposit, and your Contact Information

MY RESERVATION

Please reserve the following places at the Madingley Conference:

Reservation Types:	Number of Places:
Full Reservation with lodging: Single shared room: £220 / €285 / $440	reservation(s)
Student Reservation with lodging: Single shared room: £120 / €155 / $240	reservation(s)
Non-residential reservation: £100 / €130 / $200	reservation(s) +________________________
Total number of reservations:	reservation(s)
Names of persons for whom these places are reserved:
If any of these persons are sharing a room, please indicate here:

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MY REMITTANCE of DEPOSIT

I understand that my reservation will not be confirmed until my non-refundable deposit cheque has been received,
and that the balance of the reservation fee is payable upon arrival at Madingley Hall.

*I will therefore remit my deposit immediately as follows

please select currency symbol and currency:
£ € $ British Pounds Sterling Euros American dollars

	*Remittance of non-refundable deposit: £25 / €32 / $50 per person	£25 €32 $50
	*Number of Persons
		x_______________
	*Total deposit to be remitted: (numerals only, no currency symbol)

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MY CONTACT INFORMATION

*Full Name preceded by title (Mr., Mrs., Dr., Prof., Rev., etc.):

*Address (on 2 lines or more for the street address, city, and state or province):

*Postcode & *Country:

*E-mail address:

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CHECK OUT

You may now:

if done,

or

print it up and send it to Simon Jennings, Rawlinson & Hunter, Eighth Floor, 6 New Street Square, London EC4A 3AQ.

or

if you want to start over.

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Maintained for The Friends of Mount Athos by

Robert W. Allison
Dept. of Philosophy & Religion, Bates College
Lewiston, Maine 04240

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Communications to the Friends of Mount Athos may be sent by e-mail to

Prof. Robert W. Allison, Secretary for the Americas

Communications may also be sent by post addressed to:

Dr. Graham Speake
Ironstone Farmhouse, Milton, Banbury
OX15 4HH England
(fax: 01295-722047; from the U.S.A.: 011-44-1295-722047)

or:

Robert W. Allison
Dept. of Philosophy and Religion
Bates College
73-75 Campus Avenue
Lewiston, Maine, 04240 U.S.A.
(fax: 207-786-6123)