The 5th International Conference on Contemporary Cast Iron Art

At the world Heritage Site of Ironbridge + Coalbrookdale, Telford, UK       April 5th - 9th 2006

 

PLEASE MAIL THIS FORM ALONG WITH YOUR REGISTRATION FEE

 

CONFERENCE REGISTRATION PARTICIPANT INFORMATION

 

Name_______________________________________________ Affiliation (if any) __________________________

Address_____________________________________________________________________________________

City ______________________________________State _____________________ Zip/Postal Code____________

Country_______________________ Daytime Phone (_____)___________________Fax (_____)________________

E-mail_____________________________________Website____________________________________________

 

REGISTRATION FEE

Postmarked by Jan 20, 2006                 Postmarked by  Feb 15 2006               On Site Registration

m £175 Professional                        m £200 Professional                        m £225 Professional

m £100 Student                                m £120 Student                               m £150 Student

 

m I plan to attend the opening dinner at Blists Hill Victorian Village (Cost £12.50)

m I plan to attend the closing dinner + party  (Cost £12.50)

m I am interested in purchasing a T-Shirt : Please Circle your Size    XXL    XL     L     M     S

m I would like to participate in a pour (affiliation) _______________________________________

m I am interested in the ‘IRON 2006’ Conference Exhibition (Bring a Piece for Exhibition : Drop off on Weds 5th, Pick Up Sun 9th)

           Title___________________________________   Dimensions ________________________________ 

           Weight _________________________________  Pedastal/Installation Needs _____________________

m I am interested in the World’s Smallest Cupola Contest (make sure you fill out the additional form on the website)

m I would like to Volunteer to assist in conference activities

m I plan on bringing mold(s). Please state what kind and number of mold(s) Estimated total # of iron weight___________

           m Shell (with wax evacuated)      _____________  m Sand Mold   ________________  m Other (Specify ) __________________

 

m Total Amt Due £ ___________    Use Currency Converter to Convert UK Pounds (GBP) into Dollars if paying with a US check.

        (Please Include all Dinners, Thank You)

 

m For UK Pounds (GBP) : Make Cheque or International Money Order payable To:

        'International Conference on Contemporary Cast Iron Art' 

        Mail Payment and Completed Registration Form To:   Nick Lloyd, Co-Chair,

        International Conference on Contemporary Cast Iron Art, The School of Art and Design,

        University of Wolverhampton, Molineux Street, Wolverhampton, WV1 1SB, UK.

 

        For US Dollars: Make Check or Money Order payable To: 'International Sculpture Works'

        Mail Payment and Completed Registration Form To:  Coral Lambert, Co-Chair, ICCCIA,

        International Sculpture Works, 55 Clark Street #782, Brooklyn, NY, 11201, USA

 

Signature________________________________________________________________________________________

 

 For Further Information Check The Website :  www.ironbridge06.org  Or Email : info@ironbridge06.org