THEORY OF CONDENSED MATTER GROUP, INSTITUTE OF PHYSICS
ANNUAL SCIENTIFIC MEETING AND AGM
University of Warwick, Monday 17th December 2007
============ REGISTRATION FORM ================
Please mail (or email) this form to:
Mr Philip Richardson,
Department of Physics
University of Warwick
Coventry CV4 7AL
Name(s):
Affiliation/Address:
Telephone/email:
Coffee, Lunch and tea are included in the registration fee below.
Any special dietry requirements?
REGISTRATION CATEGORY: indicate numbers below:
IoP member: 35 pounds reg. fee ... ...
Non-member: 40 pounds reg. fee ... ...
Concessions 20 pounds reg. fee ... ...
(Concession rate applies to students, emeritus and others not in employment)
METHOD OF PAYMENT: please indicate one:
(a) Credit Card payment -
Card Number:
Cardholder Name:
Card Expiration Date:
ID No.:
Amount:
(b) Cheque, payable to University of Warwick, in mail ....
(c) Please invoice my department, order number ....
WE CAN ONLY ACCEPT INVOICE REQUESTS FOR GROUPS OF 3 or MORE PEOPLE.
These should reach us by MONDAY 11 DECEMBER
(d) I will bring payment to the meeting ....
I understand that lunch will be ordered for me and that if I do not come I am still liable to pay.
Please note that the University of Warwick will not be able to invoice
departments.
If you wish to display a POSTER (max one per attendee please):
Title:
Authors:
Abstract (one page max):
By mail please include separate document.
By email you may insert text or latex here, or attach file.
============ FURTHER DETAILS ================
Full details can be found via:
http://theory.warwick.ac.uk/events
including a poster which we would appreciate you displaying in your department.