World Wide Web Consortium (W3C) event

W3C European Interoperability Tour 2002

Dublin – Ireland to be held on 30th May

 

 

Title:

First Name:

Last Name:

Name on Badge:

Organisation:

Address:

 

 

 

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Telephone:

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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 Conference.  Your data will be held for approximately 3 months. 

Please tick here if you are happy for us to use your data in this way: ٱ

 

 

Special Dietary Needs:

 

 

 

Other Special Needs:


 

The deadline for Registration is 23th May 2002

 

Standard Conference Fee          €50 or £30                                                       

 

Method of Payment

 

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I enclose a cheque payable to “CCLRC” for £ 30          or        €50 *

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Please invoice me for £

My purchase order number is:

(Payment by bank transfer, including in Euros, is possible.)

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Please debit my Visa / Master Card / American Express / Switch * for £

 

Card Number:

Card Holder’s Name:

 

Expiry Date:

Issue Number (for Switch):

 

Card Holder’s Address:

 

Card Holder’s Signature:

* Delete as applicable.  No other cards are accepted.

 

Please complete this form and return with cheque or  payment advice to:

Mrs Pat Athawes

Business and Information Department

Rutherford Appleton Laboratory

Chilton, DIDCOT, OXON, UK

Email: ctrain@rl.ac.uk

Tel: +44 (0) 1235 44 6188

Fax: +44 (0) 1235 44 5893