ICDVRAT 2010 Registration FAX: +44 118 975 1994
or email form as PDF or Word to
Number of pages:Full Registration for ICDVRAT 2010 covers the following: admittance to all conference sessions; conference CD Proceedings and onsite Booklet, available at the time of the conference; morning and afternoon tea/coffee, Tues - Thurs; lunches, Tues - Thurs; conference reception Tuesday evening; conference dinner, Wednesday evening.
PLEASE USE CAPITAL LETTERS OR (PREFERRABLY) TYPE
DATE:Surname:
First name:
Title:
Affiliation/Company:
Address (Card Billing Address):
City
Postcode/ZIP
Country
Email:
Telephone (incl STD and country code):
ISVR Member / TICK / Standard / TICK
Up to 15 July / Full Delegate / £258 / £275
Up to 15 July / Full Student* / £120 / £138
Up to 15 July / Discounted Student* / £52 / £52
After 16 July / Full Delegate / £316 / £333
After 16 July / Full Student* / £172 / £189
After 16 July / Discounted Student* / £69 / £69
Additional Banquet ticket / £52 / £52
*Proof of Student Status Required
Total Payable
Total here ®Dinner Selection (if required)
Please tickVegetarian menu
Other special dietary requirement (please detail below)
Dietary Requirements
Please state any particular dietary need (e.g. gluten/nut/dairy allergies, vegan, hallal etc) in the box below. Most dietary requirements will be accommodated by adapting the standard or vegetarian menu to suit. Hallal meals will also be available.
Disability/Mobility Requirements
Please state any specials requirements that you may require, particularly with regard to mobility and access and whether you will require parking.
Payment
Please enter payment details below and fax to the conference secretariat at the following number +44 118 975 1994
I would like to pay to the amount of UK £ byCredit card Bank Transfer Cheque (Enclosed)
Confirmation of status for discounted registration or ISVR rate enclosed (please tick)
Credit Card Details: / Visa MasterCard
Name on Card:
Card Number:
CSV/Security Number : / (three digit number on back of card)
Expiry Date:
Billing Address: / (if different from address above)
§ Bank transfers:
§ Bank Name: Barclays
§ Bank Address: 90 - 93 Broad Street, Reading, Berkshire, RG1 2AP, UK
§ Account Name: University of Reading Receipts Account
§ Account Number: 10468509
§ Sort Code: 20-71-03
§ IBAN (International Bank Account Number): GB68BARC20710310468509
§ BIC (Bank Identifier Code): BARCGB22
§ Please quote Delegate Surname and Project code GEGP 1580 - K3182900
§ Cheques should be made payable to: “The University of Reading”. The complete form and cheque should be mailed first class to Prof. Paul Sharkey, ICDVRAT, School of Systems Engineering, University of Reading, Whiteknights, Reading, RG6 6AY, UK.
Date / Signature:Registration will be billed in GBP (USD$ 1.00 = GBP£ 0.6875)
Registration Rates 2010 (USD$)
ADVANCE / LATE / ON-SITEUp to July 15, 2010 / July 16 – August 15, 2010
Regular Full Delegate / USD $400 / USD $485 / USD $585
Regular Full Delegate
(ISVR member) / USD $375 / USD $460 / USD $560
Student Full Member / USD $200 / USD $275 / USD $375
Student Full Delegate
(ISVR member) / USD $175 / USD $250 / USD $350
Discounted Student Delegate / USD $75 / USD $100 / USD $125
Additional Banquet Ticket / USD $75 / USD $75 / USD $100
Registration Rates 2010 (GBP£)
ADVANCE / LATE / ON-SITEUp to July 15, 2010 / July 16 – August 15, 2010
Regular Full Delegate / GBP £275 / GBP £333 / GBP £402
Regular Full Delegate
(ISVR member) / GBP £258 / GBP £316 / GBP £385
Student Full Member / GBP £138 / GBP £189 / GBP £258
Student Full Delegate
(ISVR member) / GBP £120 / GBP £172 / GBP £241
Discounted Student Delegate / GBP £52 / GBP £69 / GBP £86
Additional Banquet Ticket / GBP £52 / GBP £52 / GBP £69
Local (Chilean Delegates) Registration Rates 2010 (GBP£)
ADVANCE / LATE / ON-SITEUp to July 15, 2010 / July 16 – August 15, 2010
Regular Full Delegate / GBP £193 / GBP £234 / GBP £282
Student Full Member / GBP £96 / GBP £134 / GBP £182
Discounted Student Delegate / GBP £38 / GBP £48 / GBP £62
Registration form ICDVRAT 2010 / GEGP 1580 - K3182900