Advances in Modal Logic 2004 (co-located with TARSKI) 9 - 11 September 2004 University of Manchester, UK http://www.cs.man.ac.uk/aiml04/ R E G I S T R A T I O N F O R M Instructions for completing this registration form: 1. Please download this file, edit it and fill in all the relevant information, with the exception of the credit card details (!), and send it by email to: aiml-tarski@cs.man.ac.uk 2. Enter the credit card details (if needed), print the completed registration form and fax it to this address: AIML04 Conference Organisation Department of Computer Science University of Manchester Oxford Rd Manchester M13 9PL UK Fax: +44 (0)161 275 6204 ________________________________________________________________ D E L E G A T E D E T A I L S Family Name * [ ] First Name * [ ] Title * [ ] Affiliation * [ ] Address * [ ] City * [ ] Postal code * [ ] Country * [ ] Telephone [ ] Fax [ ] e-mail * [ ] Name of accompanying person [ ] Special needs [ ] Audio-visual equipment [ ] * = required fields ________________________________________________________________ R E G I S T R A T I O N T Y P E I wish to register as follows (place an `X' in a box on the left-hand-side). [ ] Conference Registration Fee, cost 175.00 Pounds The conference registration fee includes full access to the entire programme, a copy of the preliminary conference proceedings, the post-conference proceedings, the opening reception of the conference on the 9th, plus all lunches and refreshment breaks on the 9th, 10th and 11th. [ ] Concessionary Student Registration Fee, cost 129.00 Pounds (Please fax proof of student identity to the above address.) The concessionary conference fee includes full access to the entire programme, a copy of the preliminary conference proceedings, the opening reception of the conference on the 9th, plus all lunches and refreshment breaks on the 9th, 10th and 11th. OPTIONAL: [ ] I will register/have registered for the TARSKI workshop (12th & 13th) on a separate form REGISTRATION FEE PAYABLE............................[ ] ________________________________________________________________ C O N F E R E N C E D I N N E R The cost for the conference dinner is included in the accommodation fee for residential delegates booked at the Chancellors Conference Hotel. For all other delegates and accompanying persons the cost per conference dinner ticket is 20.00 Pounds. I have not registered for accommodation at Chancellors but I do wish to register for the conference dinner on the 10th (place an `X' in the box): [ ] Conference dinner on the 10th, cost 20.00 Pounds I wish to purchase extra conference dinner tickets (enter number below): [ ] Number of extra Conference Dinner tickets on the 10th, cost 20.00 Pounds per person CONFERENCE DINNER FEE PAYABLE.......................[ ] ________________________________________________________________ A C C O M M O D A T I O N The accommodation fees include bed and breakfast. Dinners on the 9th and 11th are not included. Dinner on the 10th is included for residents at Chancellors. A number of rooms have been pre-booked and will be allocated on a first come, first serve basis. If rooms are unavailable in the requested accommodation then we will try to arrange accommodation similar in price and location, but cannot give any guarantees. I wish to book accommodation as follows (place an `X' in the box below): [ ] 8th to 11th at Chancellors Conference Hotel, dinner on 10th, en-suite, non-smoking, cost 143.00 Pounds [ ] Extra night on the 11th, Chancellors Conference Hotel, en-suite and non-smoking, cost 45.00 Pounds [ ] 8th to 11th Budget/Student Hall Accommodation, standard room, non-smoking, cost 75.00 Pounds [ ] Extra night on the 11th, Budget/Student Hall Accommodation, standard room, non-smoking, cost 25.00 Pounds ACCOMMODATION FEE PAYABLE...........................[ ] ________________________________________________________________ A C C O M P A N Y I N G P E R S O N The accommodation fees for accompanying persons include only bed and breakfast. Tickets for the conference dinner on the 10th can be ordered above. Lunches must be payed directly to the conference centre after arrival. I wish to book accommodation for an accompanying person (place an `X' in the box below): CONFERENCE HOTEL: [ ] 8th to 11th at Chancellors Conference Hotel, sharing of double/twin room, en-suite and non-smoking, cost 135.00 Pounds [ ] Extra night on the 11th at Chancellors Conference Hotel, sharing of double/twin room, en-suite and non-smoking, cost 45.00 Pounds BUDGET ACCOMMODATION: [ ] 8th to 11th in Budget/Student Hall Accommodation, separate standard room, non-smoking, cost 75.00 Pounds [ ] 8th to 11th in Budget/Student Hall Accommodation, separate standard room, non-smoking, cost 25.00 Pounds EXTRA ACCOMMODATION FEE PAYABLE.....................[ ] ________________________________________________________________ S U M M A R Y O F P A Y M E N T Registration fee [ ] Late registration fee, 40 Pounds [ ] (in case of registration after July 12th) Conference dinner(s) [ ] (0.00 for residential delegates at Chancellors) Delegate accommodation [ ] Extra accommodation for accompanying person [ ] TOTAL AMOUNT DUE....................................[ ] ________________________________________________________________ (Do not email this portion. Please use BLOCK LETTERS to fill in this section.) P A Y M E N T D E T A I L S Payment Method: [ ] Cheque (in Pounds; UK cheques, or bankers' cheques only!) Please make the cheque payable to `University of Manchester', clearly stating `AIML Conference Fee' and the name of the delegate on the back, and send to the address above. [ ] Credit Card Name on the card: [ ] Cardholder's address: [ ] Card type: - Visa [ ] - Mastercard/Access [ ] Card number: [ ] Valid from: [ / ] Expiry date: [ / ] Amount: [ ] Pounds Authorized Signature: ___________________________________ Note that all bank charges will have to be paid by delegates. Please therefore make sure that all bank charges are paid for at your end. If we do not receive the complete fee we will collect the difference on arrival. ________________________________________________________________ R E G I S T R A T I O N C O N D I T I O N S Fees will be refunded if a written request is received at least 30 days prior to the event. There will be an administrative charge of 30 Pounds for cancellations. No refund will be made for cancellations received less than 30 days prior to the event. Substitutions can be made at any time. Cancellations will be processed after the conference. The organizers cannot accept any liability for personal accidents, loss or damage of the private property of participants during the conference. The registration does not include any form of insurance. Conference participants are therefore responsible for making their own insurance arrangements.