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REGISTRATION FORM

CCP5 ANNUAL MEETING 2001

Liquids and Liquid Interfaces

at

University of Warwick, 
Coventry, 
UK.

16-19 September 2001

Prof  Dr  Mr  Mrs  Ms 
SURNAME:
INITIALS:
MALE 
FEMALE 

BADGE: Please indicate how you wish your name to appear on your badge (e.g. Mark Rodger).
Address
City: County/State:
Postcode: Country
Tel: Fax:
Email

Please indicate if you have any special dietary requirements

To help us advertise our events more effectively in the future, we would appreciate, as an optional question, to discover where you learnt about this conference


CONFERENCE COSTS (Prices are in Pounds Sterling (£).)

Please send payment to:

Dr. P.M. Rodger,
Department of Chemistry,
University of Warwick,
Coventry, CV54 7AL
United Kingdom.

WE OFFER FOUR POSSIBLE PACKAGES.

OPTION A
Accommodation with en suite facilities
Registration
Full Board: Sunday evening dinner — Wednesday lunch £ 260.00 
Full Board: Monday morning — Wednesday lunch £ 235.00 
OPTION B
Accommodation with shared bathroom facilities
Registration
Full Board: Sunday evening dinner — Wednesday lunch £ 195.00 
Full Board: Monday morning — Wednesday lunch £ 170.00 
OPTION C
No accommodation
Registration
Lunch, morning and afternoon tea/coffee Monday — Wednesday £ 115.00 
OPTION D
bone fide students:
Accommodation with shared bathroom facilities
Registration
Full Board: Sunday evening dinner — Wednesday lunch £ 100.00 
Late registration, for all categories
(after 31st July 2001)  £ 25.00
TOTAL PAYMENT:  £
PAYMENT METHOD  (in Pounds Sterling (£) only):


   Cheque
 

I will send a cheque for the above amount payable to `University of Warwick' and crossed. The reference: "CCP5/NAME", where NAME is your family name and initials in capital letters, should be written on the back of the cheque.
Cheques from outside the UK must be made out in Pounds Sterling (£) and drawn on a UK branch of a British Bank.

Please either print a copy of this completed registration form, or download one of the two paper versions below and send with your cheque or invoice.

Postscript
MSWORD (RTF FORMAT)


   Direct Payment on Receipt of Invoice

Please enter the address to which the invoice should be sent, and the name of the person for whose attention it should be marked.



CONFERENCE PRESENTATIONS

I would like to submit a presentation Yes 
  No 
I would prefer an ORAL/POSTER presentation ORAL 
  POSTER 
TITLE
Lead author (presenter):
Address:
Co-author(s):
Address:
You may enter your abstract in the text box below

Alternatively an abstract should be sent at the time of registration by electronic mail in HTML (preferred format), MSWord , LATEX, or as a text file to Mark Rodger p.m.rodger@warwick.ac.uk

The abstracts will also be published as part of an issue of the CCP5 newsletter. Delegates are also encouraged to submit a longer account of their work for publication in the newsletter. Diagrams are acceptable.

Special visual aids required (slide, overhead projector, data projection and PAL VHS video are available).
VHS video playback NTSC (USA) Yes  No 
Other requirements Yes  No 
Specify other requirements here
 


Deadline for receipt of abstracts (abstracts for oral presentations should be submitted as soon as possible ) is 31 July 2001.
The registration cost after 31st July is increased by £ 25.
Last modified 28 October 2002
 
 
   
 
 
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