|
Registration form(To be completed only by
those who have been invited by the Organisers) |
| Subject |
|
Section 1 |
Personal Details |
| Last
Name |
|
| First
Name |
|
| Title |
|
| Email |
|
| Institution |
|
| Institution's
Address |
|
| Telephone |
|
| Special
requirements |
Please specify any special dietary or
other requirements
|
Section 2 |
Accommodation |
| Type of
accommodation |
Choose one of the following two
options.
Please reserve me a single bedroom with private
bathroom.
I will arrange my own accommodation.
|
| Attendance
dates) |
I intend to arrive on
(day) (date)
and leave
on
(day)
(date).
(We understand that you may want to stay on the Saturday night
before or after the workshop |
| Other
Requirements |
If you have any other specific
requirements (e.g. you are travelling with another person, you have mobility
problems, or you need to smoke in your room/have a non-smoking room) please let
us know by entering the information in the text box below.
|
Section 3 |
Presentations Please choose one option and
complete the boxes below. ICMS has small black and white boards and an overhead
projector. Any other audio-visual equipment needs to be pre-booked. |
|
I am an invited
speaker.
I would
like the opportunity to present a 30-minute talk. |
| Title |
|
Preferred
date
(or range of dates) |
|
| Additional
audio-visual equipment |
|
|
|
