About IUISC 2004 Programme Guidelines for Speakers Guidelines for Chairs Delegate List Committee Registration Travel Info Sponsors	IUISC 2004 Registration Form (March 10th-12th, Ormonde Hotel, Kilkenny) 1.-REGISTRATION DETAILS Only one delegate per form. Provide full names, not initials. Before registering, please check with your Head of Department to ensure that you are a nominated delegate. Surname First name Prof/Dr/Mr/Ms Name of University (as to appear on your name badge) Department Address for correspondence Telephone Fax E-Mail Address Name of Accompanying person (non delegate only) 2.- REGISTRATION FEE   DELEGATE €610 Accompanying person €210   Total Reg Fee (A)     3.- LUNCHEON ARRANGEMENTS Please confirm your attendance at the opening and closing lunch Wednesday 10th of March, Opening Lunch Yes No Friday 12th of March, Closing Light Lunch Yes No Dietary Requirements (Please specify)   4.- ACCOMMODATION Accommodation has been reserved in the Ormonde Hotel, Kilkenny. Accommodation on March 10th & 11th is included in the registration fee. The rate for additional night(s) is  120.00 B&B single occupancy or  150.00 B&B double / twin occupancy, per night. If you wish to stay for additional night(s), please indicate to avail of the above rates: Arrival Date Departure Date Special Requests Name of Accompanying person Type of Accomodation (Tick as appropriate) Single Occupancy Twin Occupancy (two beds) Double Occupancy Other, please specify:   Total Accomodation (B)   5.- PAYMENT Total Payment (A+B) For institutional nominees, invoices will be sent to their institution. All other payments can be made by company cheque, Visa or Mastercard. Please make cheques payable to Conference Partners, 96 Haddington Road, Ballsbridge, Dublin 4. Please note that reservations will not be confirmed until full payment has been received. Please indicate your chosen method of payment: (mandatory) Cheque VISA Mastercard P.O Number: Billing Contact: Department: Date CANCELLATION POLICY Cancellations received after February 11th will not be refundable. RETURNING THE FORM Please complete and click SUBMIT to return to Conference Partners. If you wish to send by fax, please download this text only form and fax to: 01 664 3701

Last Updated 7th January 2004
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