CESRA 2004: Registration

To register, please complete the following form:

Title: Forename(s): Surname:
Organisation: Email address:
Address Line 1: Tel.:
Address Line 2: Fax:
Address Line 3:
City: Country: Postal/Zip Code:
Special dietary requirements:
If you selected 'other' dietary requirements, please tell us what these are:
Arrival date at SMO: Departure date from SMO:
please tick the box if you will not be staying in SMO: - unless you tick this box we will assume you are staying at SMO and will pass on the arrival and departure dates above
I will be accompanied by other people
I would like to propose a specific contribution: Yes No
Registration fee: The registration fee for the Workshop is £105. Instructions for paying the registration fee are online.
I would like to use the free bus from Inverness Airport: Yes No

Any problems, email the Local Organising Committee.