The Web on the Move

W3C UK and Ireland Regional Office logo

'Mobile Web Initiative' Event
15 November 2005 - BAFTA, London, UK

Registration Form

Title: * Prof Dr Mr Mrs Miss Ms Other

Given name(s): *

Family name: *

Name and affiliation required on badge:

Organisation:*

Address:
*


Postcode/ZIP code: *
Country: *

Telephone:

Fax:

Email: *

CCLRC is registered under the UK Data Protection Act to hold information from this form on a database. The information will be used by CCLRC to produce delegate lists. Email addresses may be used to provide details relating to the meeting. Your data will be held for approximately 3 months.

Special Dietary Needs:
Other Special Needs:

The deadline for Registration is 8th November 2005

Please complete this form and return to:


Mrs Pat Athawes

Business and Information Technology Department

Rutherford Appleton Laboratory

Chilton, DIDCOT, OXON, UK

Email: mwi05enquiries@w3c.rl.ac.uk

Tel: +44 (0) 1235 44 6188

Fax: +44 (0) 1235 44 5893