AVoCS'03 REGISTRATION FORM
Print out, fill in, and post or fax it directly to the registration manager:
Simon Farrenden [Attn. AVoCS'03]
Dept. of Electr. & Comp. Sc.
University of Southampton
GB - SO17 1BJ
- My name, affiliation, and eMail address shall appear on the list of delegates [ ]
- My name, affiliation, and eMail address shall NOT appear on the list of delegates [ ]
Prospective authors and speakers only:
- If accepted, I would wish to publish my work only in the Pre-Proceedings [ ]
- If accepted, I would wish to publish also in the selected Post-Proceedings [ ]
- £ 85.- Professional [ ]
- £ 60.- Student, with conference dinner [ ]
- £ 40.- Student, without conference dinner [ ]
Students only - Name and Signature of Professor:
- I will send a cheque or bankers draft made payable to the University of Southampton [ ]
- I wish to pay by VISA credit card [ ]
- I wish to pay by MASTER credit card [ ]
- I wish to pay by SWITCH debit card [ ]
card payers only - Name, Number, and Expiration Date on card:
card payers only - Amount (again), and Signature:
I understand that my registration agreement is binding and that my fees may
not be refunded in case of myself not attending the workshop for whatever
reason. I understand that all fees include value added tax (VAT) at the
current rate. I understand that my registration includes a copy of the
Pre-Proceedings, coffee break refreshments, and lunch, but no accomodation.
I understand that I am responsible for making my own accomodation arrangements.
I understand that I am not entitled for the conference dinner if I have chosen
the registration option ``student, without conference dinner''. I understand
that the conference organisers reserve the right to future re-arrangements
as far as the publication of the announced Post-Proceedings are concerned.
Confirmation of registration - place, date, signature: