EPEW 2009 Registration Form

http://www.doc.ic.ac.uk/epew2009
Imperial College London, UK
9 and 10 July 2009

FAO: EPEW 2009 Organisers
Email form to: epew2009@doc.ic.ac.uk
Subject: YOUR_NAME/EPEW 2009 Registration

APPLICANT DETAILS 
**********
** Replicate this block for as many delegates that you are registering
**********
First name:
Last name:
Paper number,if you are presenting a paper:             

Institution:                                                    
Address:                                                                
                                                                        
City:                                                                   
Country:                                                                
Phone:                                                                  
E-mail:                                                                 
**********

REGISTRATION RULES

   1. All papers must have at least 1 registration associated with them (either Full, Student or 2nd paper)
   2. Student registrations are for registered students. We reserve the right to ask for proof of student status
   3. 2nd paper registrations are for authors who are presenting two papers, who have already got a Full registration on a 1st paper
   4. Co-authors are very much encouraged to attend and where a paper already has a registration (either Student or Full) associated with it, co-authors can register at the lower Co-author rate
   5. Co-authors may present the paper if they wish
   6. Guest registrations are for people (from academia or industry) who are not associated with papers


REGISTRATION DETAILS

Early registration ends 20 May 2009.

Please fill in the ___ blanks as needed.

                Early            Late
Full            ___ @ GBP 350    ___ @ GBP 390
Student         ___ @ GBP 290    ___ @ GBP 320
2nd paper       ___ @ GBP 210    ___ @ GBP 240
Co-author       ___ @ GBP 210    ___ @ GBP 260
Guest           ___ @ GBP 210    ___ @ GBP 260
Student Guest   ___ @ GBP 120    ___ @ GBP 120

Extras

Extra Proceedings      ___ @ GBP 20
Extra Dinner Ticket    ___ @ GBP 50
Accompanying Person    ___ @ GBP 100
Charged Oyster Card    ___ @ GBP 10


TOTAL:  ___ GBP             

Method of Payment (details below): ___ (Credit/Debit Card OR Bank transfer)

Special dietary requirements: None                   __    
                              Vegetarian             __
                              Other (please specify) ___________


Paying by Credit or Debit Card

   1. Proceed to the Imperial short course registration site
https://wwwa.imperial.ac.uk/pls/apex/f?p=120:2:320261585612675::NO:2:P2_TRT_TYPE,P2_TRA_ID:SHORTCOR	
   2. For Department: select Computing
   3. For Course: select EPEW 2009
   4. Select the number of delegates you are registering
   5. The Full registration fee is entered by default in an editable field, but you should enter your total calculated registration at this stage if it differs from that
   6. In the comments box, give us details of which registration types you are paying for and the surname of each person you are registering. Also any extras you would like
   7. Supply your own billing details in the second half of the page. Leave the customer number/CID blank unless you are an Imperial employee/student

Paying by Bank Transfer

If you would like to transfer the money electronically, the college bank 
details are:
Bank:  National Westminster Bank plc
Address:  18 Cromwell Place, South Kensington, London, SW7 2LB
Sort code:  51-50-01
Account:  00600032
Account name:  Imperial College of Science Technology and Medicine
Swift Code:  NWBKGB2L

Please mark the transfer for:
"COHPC-G18008-EPEW2009"


Please return form by email...
Email form to: epew2009@doc.ic.ac.uk
Subject: YOUR_NAME/EPEW 2009 Registration