MIUA 2010 Online Registration

Full name*
Authorship*
Paper Number (max 2 papers per registration)
Email address for confirmation of payment*
Affiliation (Name of University, Hospital, Company etc.)*
Telephone
Address line 1*
Address line 2
Town or city*
County
Postcode
Country*
Fax
Registration Fee (for student registration, please ask your supervisor to send an email to miua@dcs.warwick.ac.uk confirming your status as a full-time registered student)*
Type of Accommodation and Duration of Stay*
Please specify any special needs
Dietary requirements
Extra Banquet Ticket*	Total transaction value: 275 GBP

* indicates a required field


Privacy statement	This form will be used to manage attendance at an event. Your attendance at the event will be recorded and associated with your name, but no other personally identifiable data will be stored, and the data will not be used for any purpose other than as a record of the event.

Department of Computer Science