Registration Form

Registration Form
(excluding accommodation)

NOTE: No new registrations will be taken after 20th October 2006

Use the TAB key to move from one box to the next across the form. *Indicates mandatory fields

Title:	Other
Given Name:*	Middle Initial: Family Name:*
Position:
Department:
Organisation:*
Postal Address 1:
Postal Address 2:
Postal Address 3:
Town/City:	Post/Zip Code:
Country:
Tel Number:	Fax Number: (if not in UK, include Country Code)
Email Address: *
Repeat e-mail:*
Topics of interest:	A B C E G I M S V W (see Topics Page) include letters here:
Lunches needed:	Tuesday Wednesday Thursday
Evening Options:	Welcome Reception (Tue evening) Gala Awards Dinner (Wed evening)
Name on Badge:
Special Needs:	Tick here detail below
Dietary: Access: Other:
Accompanying Person: (For partners and colleagues NOT participating in the Conference Programme. Covers lunches, refreshments and exhibition only.)
Title: Given Name: Family Name:
Lunches needed:	Tuesday Wednesday Thursday
Evening Options:	Welcome Reception (Tue evening) Gala Awards Dinner (Wed evening)
Special Needs:	Tick here detail below
Dietary: Access: Other:

Please tick box next to relevant Delegate Fee plus any Optional Extras you wish to add.
Registration & Payment Periods:	Late - paid by:	Special Notes
Deadline Booking and payment Dates:	31st October 2006	Deadlines for registration and payment
Full Delegate Fee (excludes social events)	£425	includes full membership of ISBE for 2007
Developing Country Delegate (excludes social events)	£240	UN-defined countries. Excludes ISBE membership
Student Delegate Fee (excludes social events) (includes Doctoral Seminar)	£240	includes student membership of ISBE for 2007
Day Delegate Fee (not for Presenters) (select day from drop down menu)	£255	for one day only - please select day
Accompanying Person (not participating in Conference)	£55	includes all lunches & refreshment breaks
Welcome Reception (Tuesday evening)	£25 No.	optional extra for all delegates & partners
Gala Awards Dinner (Wednesday evening)	£40 No.	optional extra for all delegates & partners
Special Payment (space for additional payments)	£	For:
Total Payment due:	£	Date of Payment
Any Special Notes:

Payment Options: (Receipts will be issued by e-mail)
A	By Cheque in pounds sterling payable to " ISBE Conference" - posted with this form to ISBE Secretariat at the address below.
B	By Direct Bank Transfer into the following account in pounds sterling: (please add on and pay all Bank Charges) Bank Name & Address: HSBC, 33 Park Row, Leeds LS1 1LD, UK. Branch Code: 40-27-15. Account No. 43826597. Account Name: ISBE Conference For International Bank Account Transfers: IBAN: GB06MIDL40271543826597 Branch ID: MIDLGB2105B (All Bank charges are payable by you) Please fax a copy of the bank deposit / transfer slip with your Registration Form to +44 1423 870025 or post a copy to the Secretariat at the address below.
C	By Credit or Debit Card. (VISA or MASTERCARD only) On-line via Perlex Associates ISBE Account at WorldPay. Link available when you submit this form.
D	By Purchase Order for Invoicing. Please send an official printed Purchase Order to the Conference Secretariat if you wish to be invoice. Invoices are issued only in response to your organisation's Purchase Order signed by a duly authorised officer, with fees at late rates payable by 30/09/06. (See Registration Fees for costs.)

SPECIAL NOTES AND CONDITIONS:
1.	All fees are payable by cheque, bank transfer or credit card before acceptance of Registration. Reduced fees apply as at date of payment only.
2.	Student Fees and subscription rates apply only to non-salaried undergraduate and post-graduate students or equivalent. Official certification is required.
3.	Cancellations received in writing by 30th September 2006 will be refunded after the Conference for all payments received less a 15% administration charge.
4.	No cancellations will be permitted after 30th September 2006, but individual substitutions may be made in writing without penalty up to 15th October 2006.
5.	Registrations received after 30th September 2006 will be subject to availability as space is limited. Please e-mail or telephone to check before registering.
6.	Any registered Delegates who arrive at the Conference without full payment having been received will have to pay all fees in cash (£GBP) at the Check-in Desk.
7.	The Organisers reserve the right to make any necessary changes to the programme and arrangements for the Conference, which will be posted on the website.
8.	The Organisers will hold your contact details on a database and may send you details of similar events in the future. Please tick here if you do not want this.
9.	The Organisers, Perlex Associates, the Host Universities and the Institute accept no liability howsoever arising from booking or attending this Conference.
SUBMISSION OF THIS FORM ON-LINE OR BY FAX OR POST CONFIRMS AGREEMENT TO THE REGISTRATION CONDITIONS AS SET OUT ABOVE.

IMPORTANT:
Before clicking Send Form button, please print a copy of your completed form to bring with you to the Conference check-in desk.

Click Send Form button, a page confirming successful transmission will appear along with an option to make payment on-line by WorldPay. Click on the WorldPay logo for secure payment to the Conference Organisers, Perlex Associates, ISBE Account.

ISBE Conference Secretariat, PO Box 888, Dept W6, Harrogate, HG2 8UH, UK
Tel: +44 (0) 1423 879208 Fax: +44 (0) 1423 870025 E-mail: enquiries@isbe2006.org