Iran Heritage Foundation

IRAN HERITAGE FOUNDATION

HISTORIOGRAPHY AND POLITICAL CULTURE IN TWENTIETH CENTURY IRAN
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Conference and Related Events | Registration

I wish to register for the conference and related events
___ Full registration (30 GBP)
___ Academics and students (15 GBP)
(subject to presentation of proof; payments without proof of concessionary status will be returned)

Registration fee is inclusive of the conference dinner, but does not include lunch.

Method of payment:
___ Cheque (payable to the Iran Heritage Foundation)
___ Credit card

Please debit my credit card (VISA, Mastercard and Amex only)
___ VISA ___ Mastercard ___ Amex

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Signature	______________________________
Please fill in your name and address in block capitals
Name	______________________________
Address	______________________________
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Tel	______________________________
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Please print and return this form, with UK cheque, banker’s draft in UK sterling or credit card details to: Historiography Conference, Iran Heritage Foundation, 5 Stanhope Gate, London W1K 1AH. If paying by credit card you can also fax your registration to 020 7499 9293.