REGISTRATION FORM Personal Details
Name: ………………………………………….……………….……………………..……………………………
Title: (e.g. Prof/Dr/Mr/etc.) …..………………………….………………………………………………..
Institution name, if any (for your delegate name badge):
………………………………………………………………………………………….………………………………..
Address for Correspondence: ……………………………………..…………………………………….
……………………………………………………………………………………………………………..……………
…………………………………………………………………………………………………………………………..
Email: ……………………………………………………………………………………..…………………….
Alternative Email: ……………………………………………………………………………………………..
Telephone: ……………………………………………………………………………………………………….
Mobile Telephone: …………………………………………………………………………………………….
Will you be travelling with your husband/wife/partner? YES/NO
If so, please complete the appropriate form
Please return form by Friday 8th March, 2013 to:
Catrina Carter Admin Manager & PA Shetland Amenity Trust, Garthspool, Lerwick, Shetland, ZE1 0NY E-mail: [email protected] Tel: 0044 (0)1595 694688
Congress
I will/will not present a paper at the Congress (please indicate). Papers should be no longer than 20 minutes in length.
The title of my paper is:
……………………………………….……..………………………………………………………………………………..
………………………………………………………………………………………………………………………………..
This should be considered under the following theme (please indicate). If it could fit into more than one session, please tick more than one box:
Shetland in the Viking World Mapping the Viking World Viking Identities and Traditions Viking Islands Viking Homelands
I will/will not attend the Congress Dinner on Friday 9th August, 2013 (additional fee of £50 applicable)
Please state any dietary or other requirements (e.g. accessibility):
……………………………………………………………………………………….
……………………………………………………………………………………….
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Post-Congress Tour – 11th-13th August, 2013
Please Note
Numbers for the Post-Congress Tour will be limited to 60 participants, due to the limited nature of accommodation on the island of Unst. Because of this, we would ask you not to make your travel arrangements until you receive confirmation that you will be able to participate in the Tour. This will be done as soon as possible. Priority will be given to delegates from outside Shetland and Scotland.
The cost of attending the Post-Congress Tour will be £250, which covers travel, accommodation and meals.
The Post-Congress Tour will consist of a 2-night stay on the island of Unst, followed by a daytrip to the island of Papa Stour. Unst is regarded as probably the first landfall for Vikings in Shetland and has the highest density of rural Viking longhouses anywhere. You will also have the opportunity to visit the reconstructed longhouse and replica Longship, the Skidbladner.
On leaving Unst, the Tour will visit the island of Papa Stour where you will have the opportunity to visit the partially-reconstructed Stofa at the Biggins.
Whilst visiting Unst, you will stay at the Saxa Vord Resort. Accommodation is limited and will be shared, either in their hostel or in a room in one of their houses. If you know who you would like to share with, please detail this on the booking form, otherwise we will allocate accommodation.
You will arrive back in Lerwick in time for the Northlink ferry departing on Tuesday 13th August. If you are not departing on the ferry that evening, you will need to book your own accommodation locally.
I will/will not attend the post-Congress Tour (please indicate)
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Accommodation
Please indicate your 1st, 2nd and 3rd choice accommodation preference:
Queens & Grand Hotels - £77.00 per night B&B single room or £102.50 per night double room
Queens Hotel – single, double or twin room (please indicate preference)
Grand Hotel – single, double or twin room (please indicate preference)
Would you be willing to share a twin room reducing your nightly fee to £51.25 per night)? If so, do you have a preference who with?
NO YES (name of person you wish to share with) ………………..…………………………
Smoking Room Required? YES/NO
Janet Courtney Hostel @ £54 per night (shared accommodation in twin, triple or quad rooms)
Do you have a preference of who you wish to share with?
NO YES (name of person(s) you wish to share with) ……………..…………………………
……………..…………………………
……………..…………………………
Arrange My Own
Please note accommodation at the Queens and Grand Hotels is payable directly to the accommodation provider
Accommodation at the Janet Courtney Hostel is payable in advance to Shetland Amenity Trust and an invoice will be sent to you if you choose this option.
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Travel
To assist us in providing relevant information, etc., it would be appreciated if you could give details of your travel arrangements. This can be provided at a later date.
Date of Arrival: ………………………………………………………………………………….
Time of Arrival: …………………………………………………………………………………
Flight/Ferry (If flying, please provide Flight No. …………………………….…)
Date of Departure: …………………………………………………………………………….
Time of Departure: ……………………………………………………………………………
Flight/Ferry (if flying, please provide Flight No. ………………………………..)
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Husband/Wife/Partner’s Details
Your Husband/Wife/Partner’s Name:
……………………………………………………………………………………………..……………………………
Their mobile telephone number: ……………………………………………………………………….
Will they attend the Congress (£250 fee payable)? YES/NO
Will they attend the Optional Trip to the island of Mousa (£20 payable)? YES/NO
Will they attend the Aly Bain & Phil Cunningham Concert YES/NO (£15-£20 payable)?
Will they attend the Congress Dinner (£50 fee payable)? YES/NO
Will they attend the Post-Congress Tour (£250 fee payable)? YES/NO
Do they have any dietary or other requirements (e.g. accessibility)? YES/NO
……………………………………………………………………………………….
……………………………………………………………………………………….
Total payable for your Husband/Wife/Partner’s Attendance …………………………………….
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Payment
Congress Fee - £250 (£300 if paid after 31st May, 2013)
Congress Dinner Fee - £50
Post Congress Tour Fee - £250
Optional Site Visit to the island of Mousa on Monday 5th August - £20*
Optional ticket to attend the Aly Bain & Phil Cunningham Concert on Monday 5th August - £15-£20 per ticket*
*NB – It is not possible to attend both the Mousa trip and the Aly Bain & Phil Cunningham Concert
Additional Costs for my Husband/Wife/Partner’s attendance £……………………..
Total Amount Payable £……………………….. I wish to pay by the following method:
Cheque (payable to ‘Shetland Amenity Trust’)
Bank Transfer to Clydesdale Bank Plc. IBAN – 08CLYD82660840482022 BIC – CLYDGB21608 Debit/Credit Card (please indicate)
You may pay either by completing the boxes below and e-mailing the form to [email protected] or by calling Catrina Carter on 0044 (0)1595 694688 to supply your details
I authorise Shetland Amenity Trust to debit my Mastercard/Visa (please indicate) for the sum of £…...... ……
Card number :
Expiry date :
AVC (the last 3 digits on the signature strip):
Name and address of credit card holder (if different to above)
......
Signature...... Date......
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