| Mr / Ms / Dr / Prof + Name |
Date |
| Position |
Telephone |
| Organisation / Institution |
Fax |
| Address and Postcode |
Email |
Please tick Registration Category
and circle the amount as appropriate
|
LSA Member |
Non Member |
EARLY To
15 May 2003 |
LATE After
15 May 2003 |
EARLY To
15 May 2003 |
LATE After
15 May 2003 |
A
 |
Full
conference, including residential
accommodation on site, single room, en suite facilities;
all meals and refreshments; delegate materials |
£285 |
£305 |
£325 |
£345 |
B
 |
Full
conference, including residential
accommodation on site, single room, shared facilities;
all meals and refreshments; delegate materials |
£265 |
£285 |
£305 |
£325 |
C
 |
1 day conference,
including residential accommodation on
site, single room, ensuite facilities if available;
lunch, dinner, breakfast and refreshments; delegate materials |
£160 |
£170 |
£175 |
£185 |
F
 |
Full
conference, non residential;
including lunches and refreshments; delegate materials |
£219 |
£239 |
£259 |
£269 |
G
 |
One
day conference,
non-residential, including lunch and delegate materials.
Please indicate day of attendance. INDICATE DAY |
July 8
July 9
July 10 |
£85 |
£95 |
£115 |
£125 |
 |
UK Registrants ~ please PAY by CHEQUE:
I enclose cheque in £ sterling, made payable to "LSA
Conference 2003" for amount: £____________ |
 |
Other than UK ~ please PAY by CREDIT
CARD:
I wish to pay £_________ by Mastercard / Visa. Please
add £10 for bank charges.
| Cardholder name as shown on card |
| Card Number |
Expiry Date |
| Cardholder address |
Signature |
|
 |
I
wish to join LSA and register for the Conference at the special
Member rate |
|