Current events

EVENT BOOKING FORM

Event: Teaching, Learning and Assessment of Databases (TLAD 09) (BNCOD)
Date: 6th July 2009
Location: University of Birmingham
Cost: £85
Earlybird discount cost: £75

To register for a Subject Centre event please fill in as many fields as you can which apply to you. Alternatively print out, sign and return the completed form to the address that will appear at the end of the printed document.

To register for a Subject Centre event please fill in as many fields as you can which apply to you. Print out, sign and return the completed form to the address at the end of the printed document.

 

Your Details

*Title (Mr,Ms etc):
*Name and surname:
*Email:
Job Title:
Institution:
Department:
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Telephone No:
Fax No:
Comments:
If you have any specific requirements (e.g. handouts in large print format, dietary or access requirements), or would like to make any comments, please type them here.

Choose your method of payment:

Member of Host Institution or Speaker
Cheque (made payable to 'University of Ulster')
Invoice (You must provide a Purchase Order Number or a Contact Name and Address)
 
Purchase Order Number:
Invoice address:
Credit card (All details marked * are mandatory)
 
*Name on card:
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Card Type:
*Expiry Date:
Home Address:
City:
Postcode:

NB: This is not a secure server. If you do submit credit card details on-line HEAcademy-ICS and the hosts of the conference cannot guarantee security of these details, and can take no responsibility for any misuse. Please also note that currently we are able to accept debit cards (Maestro or Visa-Electron), Visa and Mastercard credit cards only.

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I give permission for my email address to be shown on the participants list which will be included in the participants pack for this event.

Please sign, date and send to the address below:

Signed.......................................... Date.............................................

HEAcademy-ICS,
University of Ulster,
Shore Road,
Newtownabbey,
BT37 0QB

Fax: 028 9036 8206

Cancellations
Cancellations can be accepted only if received in writing not later than 2 weeks before the set date. This will incur a £20 charge for administrative costs. Substitutions can be made at any time.



This information will be used for Subject Centre purposes only. Your details will not be released to third parties, or used for any purpose not related to Subject Centre activities. Data held by the Subject Centre is subject to the provisions of the Data Protection Act 1998.