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LOFT06

By Dustin Thompson,2014-08-17 14:33
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LOFT06

    LOFT06

    thth13 15 July 2006

    The University of Liverpool, UK

    REGISTRATION FORM

     thRegistration Deadline: Wednesday 28 June 2006

Title: First Name: Surname:

University / Department:

Fax: Email:

If you are happy for your details to be circulated to other participants please tick

1) Registration - please tick box below as appropriate

     Registration entitles participants to: Type Cost ; All academic sessions plus academic materials Student th ?160 ; Drinks Reception on Thursday 13 July thAcademic ?185 ; Conference Dinner on Friday 14 July

Please Note: Accommodation is not included in the registration fees. For details on

    accommodation please visit the accommodation page of the LOFT website.

2) Individual Needs

    Please inform us of any particular requirements e.g. dietary or other requirements.

    Requirements:

3) Payment Details

    Once we have processed your payment you will be sent confirmation of your place.

Please charge my credit card for the total sum of GBP

a) VISA b) Mastercard

Card Number: / / / Expiry Date:

Security Number (last 3 digits on back of card):

    Name on Card:

Signature of Cardholder:

Full Mailing Address of Cardholder:

Postcode: Country:

    Please return form with payment by post or fax to LOFT06 at;

Catherine Atherton

    Department of Computer Science Fax: + 44 151 794 3715

    The University of Liverpool

    Liverpool L69 3BX, UK

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