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Orientation & Navigation - Royal Institute of Navigation

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REGISTRATION FORM<br />

PLEASE COMPLETE IN BLOCK CAPITALS and e-mail, post or fax the entire form to: The <strong>Royal</strong> <strong>Institute</strong> <strong>of</strong><br />

<strong>Navigation</strong>, 1 Kensington Gore, London, SWl 2AT, UK Fax: +44 (0)207591 3131, conference@rin.org.uk or<br />

book through the Web at www.rin.org.uk Registered Charity No. 1117254<br />

Surname ................................................................................Initials....................................First Name ...................................................<br />

Mr/Mrs/Dr/etc..................................................................Position held......................................................................................<br />

Company/College................................................................................................................ VAT Registration No..................<br />

Address.............................................................................................................................................................................................<br />

Town ...........................................................Postcode/Zip ...........................................................Country.................................<br />

Phone .......................................... Fax .................................................................E-mail.................................................................<br />

Please DO NOT INCLUDE my details in the published Delegate List.<br />

CONFERENCE CHARGES<br />

Charges cover the conference, refreshments, lunches &<br />

dinners (including the conference dinner), the reception<br />

and CD <strong>of</strong> the proceedings.<br />

ACCOMMODATION CHARGES<br />

Accommodation charges cover an en suite room and<br />

breakfast.<br />

RIN Member, Session Chair or<br />

Presenter @ £310<br />

Non-member @ £370<br />

RIN Student @ £230<br />

Non-RIN Student @ £260<br />

Extra reception guests @ £20 each<br />

Extra dinner guests @ £40 each<br />

£ ……….<br />

£ ……….<br />

£ ……….<br />

£ ……….<br />

£ ……….<br />

£………..<br />

See opposite page for details <strong>of</strong> grants for<br />

accommodation for students.<br />

Night <strong>of</strong> 5 April @ £54<br />

Night <strong>of</strong> 6 April @ £54<br />

Night <strong>of</strong> 7 April @ £54<br />

Night <strong>of</strong> 8 April @ £54<br />

£ ………...<br />

£ ………...<br />

£ ………...<br />

£ ………...<br />

TOTAL A<br />

TOTAL TO PAY (A + B)<br />

£ ………. TOTAL B £ ………...<br />

£ ……… Note that all charges include VAT<br />

Dietary or rooming requirements: .............................................................................................................................................<br />

PAYMENT DETAILS<br />

I wish to pay in the following way:<br />

By enclosed cheque (£ Sterling only) or<br />

bank draft.<br />

Direct to RIN bank (Please quote Registrant's<br />

name & invoice no.)<br />

BARCLAYS BANK PLC<br />

ACCOUNT NO: 10490881<br />

SORT CODE: 20-06-05<br />

Please invoice me/my Company for payment.<br />

(Payments must be received before the Conference.)<br />

Please send VAT recovery details.<br />

By VISA/MASTERCARD/ACCESS/AMEX/<br />

SWITCH/DELTA/MAESTRO (Please<br />

delete those not applicable.)<br />

CARD NO. ………………………………...<br />

ISSUE DATE …… EXPIRY DATE …….<br />

SWITCH ISSUE NO. ….. or<br />

SECURITY CODE ……..<br />

Total to be charged £ ………..<br />

Signature …………………………………..

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