THEORY OF CONDENSED MATTER GROUP, INSTITUTE OF PHYSICS ANNUAL SCIENTIFIC MEETING AND AGM University of Warwick, Monday 19 December 2005 ============ REGISTRATION FORM ================ Please mail (or email) this form to: Mrs D Keaney, Dept 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: 30 pounds reg. fee ... ... Non-member: 35 pounds reg. fee ... ... Concessions 15 pounds reg. fee ... ... (Concession rate applies to students, emeritus and others not in employment) METHOD OF PAYMENT: please indicate one: (a) Credit Card payment [preferred] - Card Number: Cardholder Name: Card Expiration Date: ID No.: Amount: (b) Please invoice me/my department, order number .... WE WILL ONLY ACCEPT INVOICE REQUESTS UP TO MONDAY 12 DECEMBER (c) Cheque, payable to University of Warwick, in mail .... (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. 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.