SMESME99 Registration Form

The Second International SMESME Conference Plymouth, 29th - 31st March 1999 Registration Form Please print this form and return it on paper to: Mrs Denise Horne, SMESME99, Faculty of Technology, University of Plymouth, PLYMOUTH PL4 8AA United Kingdom Title____ Family Name______________________________Forename(s)______________________Male / Female__ Affiliation________________________________________________________________________________ Postal Address__________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ ____________________________________________ Postcode/Zipcode___________________________ Telephone______________________________________________________________________________ Fax___________________________________________________________________________________ E-mail_________________________________________________________________________________ Accompanying person(s) Title____ Family Name______________________________Forename(s)______________________Male / Female__ Title____ Family Name______________________________Forename(s)______________________Male / Female__ |___| Tick I intend to attend the conference and and submit a paper entitled: ___________________________________________________________________________________ |___| I intend to attend the conference I require University accommodation at a price of £35.00 per night for a single en suite room (including breakfast) for the following nights: |___| Sunday 28th March 1999 £____.____ |___| Monday 29th March 1999 £____.____ |___| Tuesday 30th March 1999 £____.____ |___| Wednesday 31st March 1999 £____.____ (No double or twin rooms available) Please send me information about: |___| international standard hotels |___| local hotels and guest houses I require |____| extra places at the conference dinner & reception at £45.00 per person £____.____ Conference Fee £ 250.00 Total £____.____ |___| I enclose a cheque in Pounds Sterling drawn on a UK bank, made out to "University of Plymouth" |___| I wish to pay by credit card. Please debit my Visa / Mastercard / Delta / Switch card (delete as appropriate) with the following amount £____.____ Issue No. (Switch) ___________ Number __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ Expiry date __ / __ / __ Please send an invoice for the total shown above to the following address: For the attention of:___________________________________________________________________________ Regarding my order number:____________________________________________________________________ Address:____________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ____________________________________________________ Postcode / Zipcode______________________ Registrations must be received by 12 February 1999. No refunds will be given for cancellations after 12 February 1999. Substitutions may be made. Please use a separate form for each delegate. http://www.tech.plym.ac.uk/smesme/smesme99.htm Home, Call for Papers, Conference Programme, Registration, Contacts and Enquiries