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Please submnit one application per person.
Fields marked with an asterisk (*) must be completed.
Conference Name: MICHAEL 2008
Title: title-not-selected Professor Dr Mr Mrs Ms Miss
First name: *
Family name/Surname: *
Job title:
Organisation: *
Address line 1:*
Address line 2: *
Address line 3: *
Address line 4: *
Town/City: *
Postcode/Zipcode: *
Country:
Telephone: [daytime] * * Please include area code and country code if outside the UK
Fax:
Email: *
Do you have any special needs, such as dietary or mobility requirements?:
How will you be travelling to the event?: travelling-not-selected Car Rail Air Coach/Bus Local Resident
Where did you hear about this conference/workshop: ** Please Select ** UKOLN website Press UKOLN Flyer Mailing List Other
Please use a separate form for each application. Photocopies are acceptable. If a hard copy of this form is used, please return to Natasha Bishop at UKOLN
FOR ALL ENQUIRIES WITH REGARD TO THIS EVENT PLEASE CONTACT:
Natasha Bishop, Events and Marketing Manager, UKOLN, University of Bath, Bath, BA2 7AY Tel: + 44 (0)1225 38 6256, Fax: + 44 (0)1225 38 6838, email: n.bishop@ukoln.ac.uk
This booking form constitutes a legally binding contract. In the unlikely event of the conference being cancelled, the organisers will make a full refund but disclaim any further liability.
The information supplied on this form will be retained by UKOLN on a database and will be used to compile either a paper delegate list to be distributed at the event, or an electronic delegate list on the web. The information may also be used for marketing purposes and you could be contacted by letter, fax, telephone or E-mail with details of future events and courses organised or promoted by UKOLN which may be of interest to you.
Do you wish to receive such further information? Please select. Yes or No