Quantitative Finance and Insurance Application Form

Workshop on the Interface between Quantitative Finance and Insurance

A satellite workshop of the Quantitative Finance Programme of the Isaac Newton Institute and a 2005 Regional Seminar of the AFIR Section of the International Actuarial Association

Edinburgh, 4 - 8 April 2005

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PLEASE NOTE - REGISTRATION IS NOW CLOSED

	Application Form Before completing this form please read the Workshop Arrangements page and consult the methods of payment page to decide on your preferred method. You will be asked to notify us of your chosen method in Section 3. All participants should complete Sections 1 to 3. * indicates required field
Section 1	Personal Details
*Last Name
First Name
*Title
*Email
*Institution/Company
Institution's Address
Telephone
Special requirements	Please specify any special dietary or other requirements
Section 2	Dates of Attendance
	I expect to arrive on * (day of the week) * (date i.e. dd/mm/yy) and leave on * (day of the week) * (date i.e. dd/mm/yy) .
Section 3	Payment Applicable Fee (one only) Practitioner - AFIR - days 1 & 2: £300 Practitioner - not AIFR - days 1 & 2: £350 Practitioner - AFIR - whole week: £400 Practitioner - not AFIR - whole week: £450 Academic or non-salaried - days 1-5: £150
	To inform ICMS of your preferred method of payment, please choose one of the following options. NB: This will not take you to an online payment form.
	I will pay by cheque or banker's draft in sterling. I will pay by Maestro (debit card). I will pay by credit card (add 1.75%)

Programme & Participants| Workshop Arrangements | Application Form | Home

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