FAIM2009 Registration Form
19th International Conference on
Flexible Automation & Intelligent Manufacturing
July 6-8, 2009, University of Teesside, Middlesbrough, UK
A. Participant Information
First name: / Last name:Title: / Organisation:
Address:
City: / Prov./State:
Zip/Postal Code: / Country:
Phone: / Fax:
Email:
B. Conference Registration
Exhibitor registration (£400) / Full registration (£375) / Student registration (£300)- Exhibitor registration and full registration fees include welcome reception on July 5th, conference attendance, one printed conference proceedings, daily lunches and coffee breaks,barbeque on July 6th, conference banquet on July 7th, and industrial tour on July 9th.
- Student registration fee includes welcome reception, barbeque, conference banquet, conference attendance, one CD-ROM proceedings, daily lunches and coffee breaks, and the industrial tour.
C. Guest Programme Registration
Date / Event / Fee / Quantity / AmountJuly 5 / Welcome reception / Complimentary / £0.00
July 6 / Full-day bus tour to YorkCity.
Tour fee covers bus transportation only. Meal and tickets for on-site attractions are extra, and will be at participant’s own expense. / £25.00 / £0.00
July 7 / Full-day bus tour to DurhamCastle.
Tour fee covers bus transportation only. Meal and tickets for Castle visit are extra, and will be at participant’s own expense. / £25.00 / £0.00
July 8 / Industrial tour / Complimentary / £0.00
D. Additional Tickets
Price/Ticket / Quantity / AmountLunch ticket during the conference (July 6-8) / £6.00 per day / £0.00
Barbeque ticket (July 6th) / £30.00 / £0.00
Banquet ticket (July 7th) / £30.00 / £0.00
E. Your Interests in Social Events
For planning and logistic purpose, please let us know whether you (not your guest) will attend these events. / Welcome reception / Banquet / Industrial tourF. Special Food/Allergies/Accessibility Requirements
H. Payment Method(For Bank Transfer information please contact)
Credit Card Type: / Visa / MasterCard / OtherCredit Card Number: / Security Number (last 3 digits on signature strip)
Card Issue Date
Month/Year / / / Card Expiry Date Month/Year: / / / Issue Number (Switch cards only):
Name of Card Holder: / Total Amount of Payment: / £0.00
Address Card is registered to:
City: / Prov./State:
Zip/Postal: / Country:
I accept that the above information will be applied to my credit card by University of Teesside, and that all information given is kept confidentialAuthorised Signature:______Date: ______
Please tell us how you would like to receive your confirmation letter: E-mail Fax Mail
Please complete and return the form to by email, mail or fax:
FAIM 2009, University of Teesside, Middlesbrough, UK | Fax: +44 (0) 1642 342401 | Email: