Registration Form: Christianity and the Life of the Mind
Conference dates: Sat, Jan 28 (full day) & Sun, Jan 29, 2012 (morning only)

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I would like to register for the Christianity and the Life of the Mind Course *
Required
First Name *
Last  Name *
Contact email address *
University of Oxford Course *
If you are a postdoc, put down which department
University of Oxford College *
Year first matriculated for postgrad degree *
Year first matriculated for postgrad degree *
if you are a postdoc, year you first arrived in Oxford
Comments (optional)
Dietary requirements
(optional) Conference cost is £10 per person to help cover catering and space rental.  If this fee presents a difficulty for you, please tick this box  and we will get in touch.
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