NOTES:
The form on this page is to collect details for the conference organisers. Once you have completed this page you will be taken to a secure form where you will enter your card details and make a secure online transaction.

PLEASE READ:
The following is a summary of the different sections of this form. It is very important that all sections are filled in correctly so please read the summary below to familiarise yourself with the form.

Summary:
Section 1: is for information about the cardholder.
Section 2: is for information about the conference delegate.
Section 3: is for the conference registration fee.
Section 4: is for the workshop registrations.
SECTION 1:
Card Holder Contact Details :
PLEASE NOTE:
This form is for 1 conference delegate only. If you would like to register more than 1 delegate you must fill a separate form out for each person.
 
Title:   Female Male *
Full name: *
Affiliation (full name please):
*


Business address: *
Country: *
Zip-code: *
Phone: *
Fax: *
E-mail: *
SECTION 2:
Conference Delegate:

IMPORTANT:
If the name and ALL contact details of the conference delegate are THE SAME as the card holder, press the 'use section 1 details' button and then move onto section 3.



If the name and ALL contact details of the conference delegate are NOT the same as the card holder, please fill in the details of the delegate in the fields below.
 
CONFERENCE DELEGATE:
Title:   Female Male *
Full name: *
Affiliation (full name please):
*


Business address: *
Country: *
Zip-code: *
Phone: *
Fax: *
E-mail: *
SECTION 3:
Conference Registration:
Faces of Terrorism: on 25th & 26th April, 2007
Cross-disciplinary explorations
Full, Individual conference registration (price includes conference dinner)
£325 (€481 Euros)
TOTAL

Conference Registration Costs £
Total Cost £