Application Form, British Logic Colloquium 2001
To: BLC2001, Department of Mathematics, Manchester University, Manchester, M13 9PL

Name:

Institution:

Address for correspondence:

 

e-mail address:

Day time telephone number:

I wish to register for the annual meeting of the British Logic Colloquium, 6-8 September 2001. Please indicate your requirements for meals and accommodation by putting ticks in the appropriate boxes:

(Tick here if you require vegetarian meals: .......)

Lunch DinnerStandard RoomEn suite room
Thursday    
Friday     
Saturday XXXXXXXXXXXXXXXXXXXXXX

Registration fee (£5/£20/£30/£40) £
lunches at £6.50 £
Thursday dinner at £10.50 £
Friday Conference dinner at £17 (£5 for students) £
Standard room: ...... nights at £21.50 each £
En suite room: ...... nights at £32 each £
Total amount due

Signed

Date

Please enclose a cheque payable to University of Manchester for the amount due.

If you require a written acknowledgment of your application, please enclose a stamped addressed envelope and tick here .......

If you wish to give a 20 minute contributed talk please tick here ......... and give the title of your talk below. Graduate students are particularly encouraged to give a talk.