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 | Dinner | Standard Room | En suite room | |
---|---|---|---|---|
Thursday |   |   | ||
Friday |   | |||
Saturday | XXXXXX | XXXXXXXX | XXXXXXXX |
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.