LSA 2006, 11~13 July
Registration Form
STUDENT -- Print and return

Post to LSA 2006 c/o M McFee
The Chelsea School, University of Brighton
Eastbourne BN207SP (UK) or FAX +44 (0) 1323 644641
Delegates (including presenters) registering as students must be in full-time education and not in receipt of a main occupational income, and must provide evidence of their current status from their institution.
DELEGATE INFORMATION
Mr / Ms + Name Date
Position Telephone
Organisation / Institution Fax
Address and Postcode  Email
I wish to join LSA in conjunction with conference registration
(UK add £12; non-UK add £18)		 YES NO
PAYMENT (should be completed by June 20, 2006) Registration amount (enter from chart below)
New Membership (if applicable)
Extra accommodation (if applicable -- see below)		 £   ________
£   ________
£   ________		 TOTAL Enter Here
 I will pay by ~

 Cheque drawn on a UK bank, payable to "LSA CONFERENCE 2006" (post to address at top of page)

Credit card online via Paypal. Please send me an Electronic PayPal invoice (4% bank charge will be added)

Electronic transfer to the Conference account. I will ensure that any and all bank charges are paid on my side so that the full registration amount transfers to LSA 2006.
Details for payment by ELECTRONIC TRANSFER Bank : LLOYDS TSB, 104 Terminus Road, Eastbourne BN21 3AH (UK)
Sort code: 30-92-86      Account number: 01730579     Account name: LSA Conference 2006
BIC (formerly "swift") LOYDGB21092     IBAN: GB48 LOYD 3092 8601 7305 79

INVOICE  I request my institution to be invoiced. The official institutional purchase order is attached. PO number:
 Signed
Accommodation required additional to that in the registration packages described below (on-campus only) @ £39 per person, per night
On campus accommodation Monday July 10th   On campus accommodation Thursday July 13th
REGISTRATION CATEGORY

Student
B)   FULL RESIDENTIAL (Glenside)   3 days conference, accommodation (11th and 12th) in single room with shared bathroom, breakfast, lunch, dinner, refreshments, evening events and delegate materials £ 252
C)  PART RESIDENTIAL (1 night at Glenside only)   1 day conference, 1 night accommodation in single room with shared bathroom, breakfast, lunch, dinner, refreshments, evening event and delegate materials
     Tues July 11 Wed July 12 Thur July 13		 £ 131
D)   NON RESIDENTIAL (day and evening event)   3 days conference, refreshments, lunch, dinner, two evening events and delegate materials
     Tues July 11 Wed July 12 Thur July 13		 £ 221
E)   NON RESIDENTIAL (day only)   3 days conference, refreshments, lunch and delegate materials
     Tues July 11 Wed July 12 Thur July 13		 £ 191
F)   NON-RESIDENTIAL (day and evening event) 1 day conference, refreshments, lunch, dinner, one evening event and delegate materials
     Tues July 11 Wed July 12 Thur July 13		 £ 105
G)   NON-RESIDENTIAL (day only) 1 day conference, refreshments, lunch, and delegate materials
     Tues July 11 Wed July 12 Thur July 13		 £ 83
Note: Payment should be completed by June 20, 2006 Refund policy: Cancellation notified before June 20: 100% refund;
Cancellation notified June 20--July 1: 50% refund; Cancellation notified after July 4: no refund
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