Ninth Meeting of the UK Polymer Colloids Forum

11-12 September 2003, UMIST, UK.

Conference Booking

Details of the conference programme can be found in the downloadable PDF registration form (below).

To register, please complete this registration form
(one for each delegate).

registration form in Adobe Acrobat PDF format, print and complete it, and return it with your payment to:


UK Polymer Colloids Forum
,
Trading Services, UMIST, 
P O Box 88, Manchester,
M60 1QD, UK
Tel: +44 (0)161 200 4068 
Fax: +44 (0)161 200 4070 
Email: ukpcf@umist.ac.uk

Please complete the following information then click the Submit button:
(Asterisked fields* are required)

Title *
First Name *
Name for Badge
Surname *
Department *
Organisation *
Address *
Postcode *
Country *
Telephone *
Fax*
E-mail *
Position
A list of attendees will be prepared and issued to people at the meeting. If you do not want your name to be included in the list, please tick this box:  
A. SPECIAL REQUIREMENTS

Please indicate any special requirements below, i.e. diet, access etc.

Requirements
  
B. TRAVEL

I expect to travel by: 'please select from the following'

Car Plane
Motorbike Bus
Train Bicycle
Metro Link Taxi
C. POSTER

If you wish to present a poster at the meeting, please give the title and names of co-authors below, and return a 200-300 word abstract of the poster with this registration form 

Poster Title 

Co-Authors

Abstract

 

D REGISTRATION

Registration fee :


 

The fee includes: attendance at all sessions, a booklet of abstracts, light refreshments & lunches (11-12/9/03), dinner (11/9/03) and en suite accommodation (11/9/03).


Accommodation for additional nights can be provided at a cost of £35 per night

10/9/03

12/9/03

 

E. PAYMENT

Please note that PAYMENT MUST BE IN STERLING (GBP), and that provisional bookings cannot be accepted. 

For payments by cheque, your registration will be held until your payment arrives.  Payments should be sent to:

cheques should be made payable to "UMIST" and should be sent to:
 

 “UK Polymer Colloids Forum”,
Manchester Conference Centre,
Weston Building,
UMIST,
Sackville Street,
Manchester,
M60 1QD,
United Kingdom.

 

COST GRAND TOTAL  £ * (sum D)
Method of payment - click one of options by a b c or d below, and fill in the appropriate details *
a) By cheque or bankers draft Sent, with payment made out to UMIST, to address above
b) By credit card

 

Tel: +44 (0)161 200 4068 
Fax: +44 (0)161 200 4070 

 

 

Visa
MasterCard
Eurocard

Switch 
Issue No

Card number: 

Expiry date: 

Cardholder name and address:

   




After a successful submission you should see a confirmation page.  If you do not receive this contact mcc.reg@umist.ac.uk or telephone for further assistance.

Tel: +44 (0)161 200 4068 
Fax: +44 (0)161 200 4070