LSA 2007 Registration FORM

Registration Form

Post to LSA 2007 c/o M McFee, The Chelsea School, University of Brighton
Eastbourne BN207SP (UK) or FAX to +44 (0)1323 644641

Mr / Ms / Dr / Prof + Name	Date
Address and Postcode	Email
	Telephone
	Fax
I wish to join LSA (UK add £30; non-UK add £40)	YES	NO
Signed

PLEASE TICK BOXES A, B, C, D AS APPROPRIATE. EARLY = form received on or before May 15, 2007.

A -- REGISTRATION includes lunch, coffee/tea, materials	LSA MEMBER		NON MEMBER		STUDENT*
A -- REGISTRATION includes lunch, coffee/tea, materials	early	late	early	late	STUDENT*
1 day Tues Jul 3 Wed Jul 4 Thur Jul 5	£111	£131	£155	£175	£59
2 days Tues Jul 3 Wed Jul 4 Thur Jul 5	£161	£181	£205	£225	£89
3 days (Tues Jul 3, Wed Jul 4, Thur Jul 5)	£208	£228	£250	£270	£119
* "Student" = in full time education and NOT in receipt of main occupational income

B -- EVENING MEALS

Tues Jul 3£ 22 (conference dinner) Wed Jul 4£ 33

C -- ACCOMMODATION at Lansdowne Hotel (indicate Shared or Private; how many and which nights
SHARED ROOM per person, two in room	1 night £60	2 nights £120	3 nights £180	4 nights £240
PRIVATE ROOM	1 night £80	2 nights £160	3 nights £240	4 nights £320
FOR WHICH NIGHTS?	Mon Jul 2 Tues Jul 3 Wed Jul 4 Thur Jul 5

D -- PAYMENT METHOD	NOTE ---- Payments to be made to LSA Conference 2007 only --- NOT to University of Brighton
		CHEQUE drawn on a UK bank, payable to "LSA CONFERENCE 2007"
		CREDIT CARD Paypal online. Please send me an Electronic PayPal invoice (4% fee will be added)
		ELECTRONIC TRANSFER. Delegate to pay all bank charges so that the full registration amount transfers to LSA 2007. Account name: LSA Conference 2007 Bank : LLOYDS TSB, 104 Terminus Road, Eastbourne BN21 3AH (UK) Sort code: 30-92-86 Account number: 01730579 BIC (formerly "swift") LOYDGB21092 IBAN: GB48 LOYD 3092 8601 7305 79
		INVOICE --- official purchase order must be attached) PO Number ______________

Payments to be completed
before July 1, 2007.

Cancellation refund: After June 20 = nil;
June 10-20 = 50%; Before June 10 = 95%