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Registration Form
The first three sections must be completed.
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Section 1
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Personal Details
* indicates required field
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| *Last Name |
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| First Name |
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| *Title |
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| *Email |
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| *To which ENRAGE site do you belong? |
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| Special
requirements |
Please specify any special
dietary or
other requirements
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Section 2
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Dates of Attendance
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*Expected date of arrival:
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*Expected date of Departure:
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Section 3
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Accomodation
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ICMS staff can reserve accommodation for you if you wish,
or you can make your own arrangements
(see http://www.icms.org.uk/information/travelToUK ).
Please check (a) or (b).
(a) I will arrange my own accommodation.
(b) Please reserve accommodation (with private bathroom) for me. I will contact the hotel/guest house to arrange payment.
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Type of Room (e.g. single, double etc)
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Indicative budget (minimum £35 per night)
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Section 4 | Title of PresentationIf you would like to talk, please give a brief title and abstract (<200 words) below.
We will probably schedule both 30 minute and 1 hour talks, indicate a preference. |
| 30 minutes
1 hour |
| Title and Abstract
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Section 5 | Any other information |
| Please let us know of any other requirements not covered by the above form.
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