PLEASE PRINT AND COMPLETE THIS FORM IN BLOCK CAPITALS. THANK-YOU.
Surname: _________________________
First Name: _______________________ Title: _________
Institution/Organisation: _____________________________________________________________
Position: __________________________________________________________________________
Address: __________________________________________________________________________
Tel No: ____________________________ Fax: ________________________________
Email Address: ______________________________________
This fee covers: a copy of the Workshop Proceedings, light lunch on the Tuesday and Wednesday, morning and afternoon coffees/teas, refreshments at Evening Reception on Tuesday 22nd September. It does NOT cover accommodation. Delegates should arrange their own accomommodation.
Please send invoice
r
or
Please find enclosed a cheque in
full payment r
Total £_________________
Cheques should be made payable to The University of Liverpool (cheques in £ sterling only).
Payment must be received before date of conference.
Individual requirements for residential participants: Male/Female
Car Parking Permit required: Yes/No Car Registration Number: ________________________
Wheelchair Access/Dietary Requirement/Other:
________________________________________
THIS BOOKING FORM AND PAYMENT SHOULD BE SENT TO:
Beth James, Connect,
Foresight Centre,
University of Liverpool,
No 3 Brownlow Street
L69 3GL
Telephone: +44 (0151) 794 8276
Fax: +44 (0151) 794 8270
Email: beth@csc.liv.ac.uk
Looking forward to meeting you in September,
With thanks, Irene Neilson (ien@csc.liv.ac.uk) and Ray Paton (rcp@csc.liv.ac.uk), Organisers VRI'98