REGISTRATION DETAILS Only one delegate per form. Provide full names not initials
First
Prof / Dr/Mr/Ms
Name of University (as to appear on name badge)
Department
Address for correspondence
Contact Numbers: Telephone
Fax E-mail
No. of Accompanying persons ( )
1. 2. (Non delegates only)
REGISTRATION FEE (normally paid directly by your Computer Centre/Library)
Delegate €650.00
Includes
Accommodation on Wednesday & Thursday at Hotel Europe Daily morning & afternoon refreshments Lunch on Wednesday, Thursday & Friday Dinner & entertainment on both evenings Entry to all Conference Sessions and Exhibiton Conference Programme
TOTAL A: € ________________________________________________________________________
ACCOMPANYING PERSONS Accompanying Persons €200.00
includes Lunch on Wednesday, Thursday & Friday (optional on Wednesday & Friday) Dinner & entertainment on Wednesday & Thursday evenings Accommodation (sharing with a delegate) on Wednesday & Thursday nights
TOTAL B: € ________________________________________________________________________
LUNCHEON ARRANGEMENTS Please confirm your attendance at the opening and closing lunch. Date Function Please tick if you will attend Wed 12th March Opening Lunch ? Friday 14th March Closing Light Lunch ?
Dietary Requirements (please specify)
ACCOMMODATION
Accommodation has been reserved in the Hotel Europe. Accommodation (on single occupancy basis) on March 12th & 13th is included in the registration fee.
Arrival Date Departure Date No. of Nights
Special Requests
Name of person(s) sharing
TYPE OF ACCOMMODATION ? Single Room ? Twin Room (two beds) ? Double Room ? Other (please specify)
Additional Nights Accommodation:
€166 per single per night
€184 per double per night
Charges will apply for cancellations of extended stays after February 26th, 2003
TOTAL C: €
___________________________________________________________________________
PAYMENT TOTAL A+B+C: €
If you are registering from one of the 9 Irish Universities your Computer Centre/Library will be invoiced directly for payment A. You would only need to cover payment for B or C if appropriate.
Payments can be made by Company cheque.. Please make cheques payable to Conference Partners, 96 Haddington Road, Ballsbridge, Dublin 4.
Please tick method of payment Invoice your University Cheque (Purchase Order number required)
PO Number Billing Contact