AUTHOR
INSTRUCTIONS, UKSIM 2004:
CONFERENCE ON COMPUTER SIMULATION
United Kingdom Simulation Society,
St
Catherine’s College, Oxford, England.
29 -
REGISTRATION FORM UKSIM Paper
code__________
Author Registration
closes on
Author registrations
will not be refunded, but may be transferred to a designee who will present the
paper at the conference. Late registration and registration at the conference
will be £30 higher than the fees shown below.
Please type or print
clearly and fill out completely.
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Name:
First ____________ M.I.___ Last/Family |
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Mailing
Address - Business or Home (circle one) |
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Department |
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Organisation |
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Street |
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Zip/Post
Code
Country |
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Tel Fax |
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CONFERENCE
REGISTRATION:
(Circle one only) |
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1.Authors, Members of a
Sponsoring Society, Chairman, Speaker, Panellist |
£295 |
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2. Non-Members |
£295 |
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3. Students - Attendance
only (no paper presentation, no proceedings) |
£50 |
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4. Attendees with a stand in
the exhibition (one only - may be transferred) |
£100 |
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Affiliation : EUROSIM
(State Member Society: __________ ) SCS (State Member Number:
__________ ) JSST, CASS |
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LATE REGISTRATION: (After |
£30 |
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BANK CHARGE: (IF NOT A U.K.
BANK) ADD |
£9 |
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TOTAL AMOUNT: |
£ |
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AMOUNT REMITTED: |
£ |
PAYMENT: All
payments MUST be made in Pounds Sterling (£, U.K. Pounds)
1.
By cheque drawn on
2.
By bank transfer to: U.K.
Simulation Society, Midland Bank plc, 9 High Street, Kettering, Northants NN16
8TQ, Sort Code 40-26-07, Account No.41315420.
3.
Payment by credit card:
complete the following details:
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Name
on the Card |
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Card
Type, tick opposite (American Express
is not accepted) |
Visa |
MasterCard |
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Card
Number |
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Expiry
Date |
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Amount
to be paid |
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Signature
to authorise payment |
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Your
name |
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Your
address: Line 1 |
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Line
2 |
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Line
3 |
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City
& Postal/Zip Code |
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Country |
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If payment is made by bank transfer
please send proof of payment with the Registration Form.
Send Form and payment (or fax Form & proof
of payment to 0115-848-6518) to: Prof David Al-Dabass,
* * *