Personal Details

Title:	Please Select Prof Dr Mr Mrs Miss Ms *
First Name:	*
Last Name:	*
(This information will be used in the production of badges)
Institution:	*
Address:	*
Postcode/Zip:	*
Email:	*
Telephone: (+ international dialling code)	*
Fax:
Address for Correspondence: (if different)

Registration*

The registration fee includes attendance at all sessions, refreshments and lunches, welcome reception and conference dinner.

	Before 31st May 2007	After 31st May 2007
Full Participant:	£400	£500
Single Day Participant:	£200	£200
	Monday Tuesday Wednesday
Additional Items:-
Additional ticket for Conference Dinner (Tuesday)	£45

Special Requirements

Please indicate any special requirements, e.g. diet, access etc.

Accommodation

All accommodation is on the University campus, a few minutes walk from the conference venue. All rates are for a single room per night and include breakfast

En-suite student type accommodation :	£32.00 per night
3* hotel (Days Hotel) on site single:	£73.50 per night
3* hotel (Days Hotel) on site double:	£88.50 per night

Payment*

Total Costs:

Cancellation policy:-  Cancellations received before 15^th June will receive a full refund less a £50 admin charge.  After this date, there will be no refund, but substitutions will be accepted if written notification is received.

Confirmation:-  Booking requests will be confirmed only when forms AND payment have been received.

Data Protection:-  Your contact details will appear on the conference participants’ list. If you do NOT wish your details to be included, then please tick the box

Please charge my credit/debit card:
I will send a cheque:
Please send me an invoice: