Registration Form

For the School and/or the Symposium


Please read the information regarding the payment of registration fees (School/Symposium) before completing this form.

The deadline for registration for the School and the Symposium is 15 November 2005.

Should you require changes to be made to any information submitted previously, please resubmit the form filling in only your full name and the fields which require alteration.


Personal Details
 

First Name:
 
Surname:
Title:


Contact Details
 

University (Institution):
Department (Division):
Address (line 1):
Address (line 2):
Address (line 3):
Address (line 4):
Postcode:
Country:
E-mail Address:
*Telephone Number:
*Fax Number:

*Please include the international dialling code.


I am registering for:
 
Just the School
Just the Symposium
Both the School and the Symposium


Would you like accommodation to be reserved for you? 

Which accommodation would you like reserved? 

Please indicate when you intend to arrive for the meeting:
 
Date:
Approximate time:

Please indicate when you intend to leave:
 
Date:
Approximate time:

Any other comments (e.g. Vegetarian etc.):

Title of talk (for the Symposium - invited speakers only):