Registration Form

Please complete the Registration Form and fax it to (+44) 131 667 7209 marked for the attention of "CPC2001 Registration" or post to Dyane Goodchild, "CPC2001 Registration", JCMB, Room 3421, The King's Buildings, Mayfield Road, Edinburgh, EH9 2JZ, UK. If you have any difficulties or queries please email CPC2001

CPC2001 Registration Form

Delegate Details

Name:

Institution:

Address:

Post Code:

Country

Phone:

Fax:

email:

Registration Fee

Early Registration - Before 1 May 2001: 234.00 pounds sterling

Late Registration - After 1 May 2001: 284.00 pounds sterling

Credit/Debit Card Payment - preferred method of payment

Type of Card: VISA/Mastercard/SWITCH:

Card Number:

Card Valid From:

Card Valid To:

Card Issue Number (SWITCH TRANSACTIONS ONLY):

Cardholder's Name:

Cardholder's Contact Address:

Amount to be charged:

Total to be paid:

Cardholder's Signature:

Date of transaction:

Bank Cheque

Must be drawable on a UK bank. Make payable to the University of Edinburgh. Send with a copy of this form.

Bank Transfer - least preferred method of payment

Transfer to the University of Edinburgh

sort code: 80 02 24

account number: 00 919 680, the Bank of Scotland, Edinburgh.

Please quote CPC2001 in your transfer details and

university account number 747CSA- G47002

A COPY OF THE BANK RECEIPT MUST BE SENT TOGETHER WITH THIS FORM

Fax form to (+44) 131 667 7209, marked for the attention of "CPC2001 Registration" or post to Dyane Goodchild, "CPC2001 Registration", JCMB, Room 3421, The King's Buildings, Mayfield Road, Edinburgh, EH9 3JZ, UK.

Home : Cpc2001

Please contact our webadmin with any comments or changes.
Unless explicitly stated otherwise, all material is copyright © The University of Edinburgh.