Title |
If other, please specify:
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Your full name(*): | |
E-mail address(*): | |
Institute(*): | |
Conference fee payable:(*): |
Member (£ 120.00 inc. VAT)
Non-member (£ 160.00 inc. VAT)
Student (£ 20.00 inc. VAT)
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Will you be attending the reception at 6pm on Monday 5th April?(*): |
Yes
No
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Will you need accommodation?(*): |
Yes
No
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If accommodation is required, which days are required?: |
Mon
Tues
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What type of accommodation would you prefer?:
(Note: All accommodation will be bed/breakfast)
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Conference Park Ensuite (£ 56.00 inc. VAT)
Standard Room
(Undergraduate Accommodation)
(£ 25.00 inc. VAT)
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Payment Method(*):
(Conference fee and Accommodation charge) |
Cheque
Bank transfer
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Are you attending the Conference Dinner?(*):
(7:00pm Tuesday 6th of Apr 2004) |
Yes
No
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Special dietary requirements: |
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Other requirements?: |
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To process your request, please click
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To update details of previous registration, please click
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To start over again, click . |