COORDINATION 2002


Registration Form

To register, please fill in the following form.




Personal Details

Title and Name

Organisation

Department

Street Address

City

County /State/Province etc

Postal Code / Zip

Country

Telephone

email

   

 Coauthor?

Name of full-paying author:
   

Dietary requirements

Omnivore Vegetarian Other (please email details)

Payments

       

Registration

Late |

Full

£ 290 includes Reception and Banquet

(after 9 March) |

Co-author

£ 230 includes Reception and Banquet

|

Student

£ 145 Reception and Banquet not included
   

Extras

   Quantity  

Extra Reception Tickets

at £ 15  

Extra Banquet Tickets

at £ 45  
 

 Total

£  
 
       

Payment Details

Credit Card

Number

Expiry date

Cardholder Name

Cardholder Address

Type

      Select if you will fax credit card details to +44 1904 432767


Submission

Ms Jane White,
Coordination 2002
Department of Computer Science,
University of York,
Heslington,
York
YO10 5DD
UK