BOOKING FORM: EGUK2000, Swansea, UK, 4-6 April 2000

Please complete the form using BLOCK CAPITALS and place 'X's or ticks at appropriate boxes.
Detailed registration information can be found at http://www.swan.ac.uk/compsci/eguk/registration.html.	
Surname:		Title:		
Other Names:		
Organisation:		
Address:	

City:		Postal Code:		
Country:		Phone:		
Email:		Fax:		
	
PARTICIPATION AND CORRESPONDING PAYMENT		
Payment received on or before 17/3/2000	 Speaker 			
Standard	Student	Standard	Student	Invited			
£220		£170		£165		£127.50		£110		£		
Payment received aftere 17/3/2000	 Speaker 			
Standard	Student	Standard	Student	Invited			
£270		£220		£215		£177.50		£110		£		
Eurographics membership No.		or, non-member surcharge of £75	£		
	
ACCOMMODATION		
Date of	day	month	Date of 	day	month			
Arrival			Departure					
Single room with en-suite	No. nights:		at £31 per person per night	£		
Single room without en-suite	No. nights:		at £23 per person per night	£		
Twin room	No. nights:		at £52 per room per night	£		
	
ADDITIONAL TICKETS FOR CONFERENCE SOCIAL EVENTS		
EGUK Pioneers’ lunch on Tue., 4/4/2000	No. extra tickets:		at £15 each	£		
Conference reception on Tue., 4/4/2000	No. extra tickets:		at £25 each	£		
Conference dinner on Wed., 5/4/2000	No. extra tickets:		at £25 each	£		
	
TOTAL:	£		
	
PAYMENT METHOD	
		A Sterling International Bankers Draft or UK Cheque is Enclosed	
		Please Invoice My UK Organisation	Purchase Order No:		
		Credit/Switch Card	Card type:		Card holder:		
Card No.:																				Expiry date:							
				
Signature:		Date:		
				
Please return this form to Mrs. Jill Edwards, EGUK2000, Department of Computer Science, University of Wales Swansea, Singleton Park, Swansea SA2 8PP, UK. Fax: +44 1792 295708; Phone: +44 1792 295393; Email: j.edwards@swansea.ac.uk.