15th-17th July 2014, University of Warwick

Registration

Please fill in the fields below and press the "Submit Registration" button. Required fields are in red.

1. Contact Details

Your name and institution will appear on your conference badge as below.

Title:
First name:
Last name:
Institution:
E-mail address:
Phone (work):
Postal address:
Town:
Postcode:
Country:
Phone (private/mobile):    

2. Member Status

(This field is required)

EMBS Member
IEEE Member
Non-Member

3. Registration Options

Registration fee includes conference pack, proceedings, lunch and coffee breaks.

On-site, or after 9th June 2014
£65

4. Conference Paper

Will you be submitting a paper for the conference? (This field is required)

Yes, I will submit a paper
Maybe I will submit a paper
No, I will not submit a paper

5. Accommodation

Which accommodation option do you require? (This field is required)

Single room with shared bathroom (£45 per night):
15th & 16th July
15th July only
16th July only
Single room with en-suite bathroom (£70 per night):
15th & 16th July
15th July only
16th July only
No accommodation required

(The prices above are for bed and breakfast.)

6. Special Requirements

Please give details of any special dietary requirements: (e.g. food allergies, vegetarian, etc.):

Please give details of any other special requirements: (e.g. hearing impaired, wheelchair access, etc.):

To submit your registration press here:

7. Payment

Payment can be made by cheque or bank transfer:

If you are paying by cheque, please send a cheque payable to "Dr C James" for the total amount in British Pounds Sterling together with a copy of this form, to:

Professor C J James
Room A428
School of Engineering
Library Road
University of Reading
Coventry
CV4 7AL

If you would like to pay by bank transfer, please make the transfer to the following account, with your last name as the transfer reference:

Bank name: Barclays
Account name: Dr C James
Sort code: 20-98-61
Account number: 10796212

Registration and accommodation payments must be received by the registration deadline for the rate at which you registered; if payment is not received by the deadline, you will be responsible for the higher rate.

8. Confirmation

You will receive a confirmation of your registration via e-mail. Please print this e-mail and take the printout with you to the conference as a proof of registration.