Registration Form - CABERNET

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The International Conferenceon Managing Urban Land13-15 April 2005, BelfastPlease complete all sections in BLOCK CAPITALSSECTION A: CONFERENCE PARTICIPANTProf / Dr / Mr / Mrs / Miss / MsFamily name:First namePosition / FunctionOrganisation / Institution (in your own language)Organisation / Institution (in English)(The information above will be used on your name badge)Correspondence address:PostcodeE-mailTelephoneCountryWebsiteFaxAre you a CABERNET Member? or Associate Member? (tick if applicable)I accept that my personal data will be published in the participants listDo you require any special assistance?Special dietary requirements: Vegetarian Other (please specify)SECTION B: ABSTRACTS*Are you submitting an abstract? Yes No*Please see the conference website for further details on oral or poster presentations www.cabernet.org.uk/cabernet2005SECTION C: CONFERENCE EXHIBITION SPACE OR BECOMING A SPONSORI am interested in exhibiting at the conference or becoming a sponsor, please send me further detailsSECTION D: SITE VISITSPlease indicate which site visits you are interested in attending(**site visits are included in the registration cost except the Giants Causeway and Antrim Coast Tour):Thursday 14th April:Friday 15th April:(please tick one only)Laganside Boat TourGroundwork Community TourLaganside & Victoria Square TourTitanic Boat TourGasworks TourWest Belfast TourSaturday 16th April:Giants Causeway and Antrim Coast Tour(£20 per person to be paid at registration)Please complete and return this form to: CABERNET 2005 Land Quality Management GroupSchool of Geography, University of Nottingham, University Park, Nottingham, NG7 2RD, UKFax: +44 (0)115 9514320 Email: cabernet2005@nottingham.ac.uk
The International Conferenceon Managing Urban Land13-15 April 2005, BelfastPlease complete all sections in BLOCK CAPITALSSECTION E: REGISTRATION FEE CATEGORYPlease tick the appropriate registration category (Please tick 1 box only)No. √ Registration Fee Category EUR Pounds Stg1 Private Sector / Industry Delegate €600 EUR £4102 Northern Ireland Delegates (Private Sector) €400 EUR £2753 Oral / Poster Presentations (Private Sector / Industry Delegate) €550 EUR £3754 Public Sector / Academic Delegate €350 EUR £2405 Oral / Poster Presentations (Public Sector / Academic Delegate) €300 EUR £2056 Student (Limited number of places available) €200 EUR £1407 Day Delegate Rate €200 EUR £1408 CABERNET Associate Member €300 EUR £2059 CABERNET Member Supported by the EC DG ResearchThe Registration Fee includes: Conference programme and conference materials; book of abstracts; lunches and coffee;conference dinner; site visits**. Further details of the social events, site visits and the partner programme are available inthe final announcement. PLEASE NOTE: Your registration will only be valid once full payment has been received.SECTION F: PAYMENTRegistration fee category: No.TOTAL PAYMENT DUEBy bank transfer* Account Name: SR1500 Sort Code: 60-15-49Swift: NWBKGB2LB IBAN: GB42NWBK6015 4988 9700 00Account number: 88970000* Please note: For bank transfers all bank charges should be covered by the sender (remittor)By cheque (£ Sterling or Euro only). I enclose a cheque made payable to University of NottinghamBy credit card. I authorise payment by credit card (payments will be charged in £ Sterling only)Card type: Mastercard Visa Switch/Maestro Delta Issue no. (Switch only)Card numberExpiry dateStart date:Name of cardholder (if different from above)SignatureDateWritten cancellations received before 1 March 2005 will be refunded minus a fee of £50. After this date no refunds can bemade. Substitutions may be made at any time, please inform the conference secretariat of any changes.FOR OFFICIAL USE:CHK DB PD ACKFurther copies of this form can be obtained from the CABERNET website:www.cabernet.org.uk/cabernet2005Please complete and return this form to: CABERNET 2005 Land Quality Management GroupSchool of Geography, University of Nottingham, University Park, Nottingham, NG7 2RD, UKFax: +44 (0)115 9514320 Email: cabernet2005@nottingham.ac.uk

Registration Form - CABERNET

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