Registration form for NET2012
Complete the form below to register for NET2012. Please complete and submit a separate form for each person
registering.
Once you have submitted your completed form you will receive an immediate email acknowledgement of your
online registration. This will be followed by confirmation of your registration details within 5 working
days. If you have not heard from us within this time please contact us again. |
Delegate details |
| * - Required fields |
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| Title * |
Specify: |
| First name * |
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| Family name * |
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| Job title * |
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| Department |
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| Institution/Organisation/Company * |
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| Address 1 |
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| Address 2 |
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| Address 3 |
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| City * |
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| County |
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| Postcode * |
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| Country * |
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| Telephone * |
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| Email Address * |
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| Please tick if you do not want your email address to appear in the delegate list. |
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| Please indicate your role/s at the conference: |
Core Presenter
Theme Presenter
Symposium Presenter
Poster presenter
Convenor
Delegate
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| Dietary preference: |
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Do you have any other particular requirements?
e.g. hearing difficulty, mobility disability, etc.
Please specify:
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| Where did you first hear about this conference?: |
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Conference fees |
Whole conference attendance – non-residential
(for accommodation, see below)
Tuesday 4 September to lunchtime on Thursday 6 September 2012
Fee covers: full conference attendance, delegate pack including copies of core papers and
keynote papers, all lunches and refreshments from morning coffee on Tuesday to lunch on Thursday.
Early bird discount currently applies.
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| For bookings made before 6 July 2012 |
£416.00
(+ VAT £83.20)
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| For bookings made after 6 July 2012 |
£456.00
(+ VAT £91.20)
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Attendance at one theme only – non-residential
(for accommodation, see below)
Tuesday 4 September to lunchtime on Wednesday 5 September 2012
Fee covers: conference attendance for one theme session, delegate pack including copies of core
papers and keynote papers, lunches and refreshments. Early bird discount currently applies.
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| For bookings made before 6 July 2012 |
£394.00 (+
VAT £78.80)
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| For bookings made after 6 July 2012 |
£434.00
(+ VAT £86.80)
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Attendance at one theme only – non-residential.
(for accommodation, see below)
Wednesday 5 September to lunchtime on Thursday 6 September 2012
Fee covers: conference attendance for one theme session, delegate pack including copies of core
papers and keynote papers, lunches and refreshments.
Early bird discount currently applies.
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| For bookings made before 6 July 2012 |
£394.00
(+ VAT £78.80)
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| For bookings made after 6 July 2012 |
£434.00
(+ VAT £86.80)
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Accommodation situated at Robinson College
Accommodation on Monday 3 September |
| Includes bed, breakfast and evening meal |
£87.00
(+ VAT £17.40)
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Accommodation on Tuesday 4 September
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| Includes bed, breakfast and evening meal |
£87.00
(+ VAT £17.40)
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Accommodation on Wednesday 5 September
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Includes bed, breakfast
* Please note: you will need to make your own arrangements for
dinner on Wednesday if you choose not to attend the Gala Conference Dinner.
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£67.00
(+ VAT £13.40)
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Accommodation on Thursday 6 September
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| Includes bed, breakfast and evening meal |
£87.00
(+ VAT £17.40)
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Gala Conference Dinner on Wednesday 5 September
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| Includes drinks reception, dinner at Queens' College, live music and after dinner speaker |
£43.00 (+ VAT £8.60)
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Practical workshop: Working towards publication
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| 16.00-18.00 Thursday 6 and 09.00-13.00 Friday 7 September. Includes
background papers, refreshments each day and a lunch on Friday 7 September
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£150.00 (+ VAT £30.00)
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Car Parking
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| I require a car parking space at a cost of £3 per car, per day for the following days: |
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| Monday 3 September |
£3.00 (+ VAT £0.60) |
| Tuesday 4 September |
£3.00 (+ VAT £0.60) |
| Wednesday 5 September |
£3.00 (+ VAT £0.60) |
| Thursday 6 September |
£3.00 (+ VAT £0.60) |
| Friday 7 September |
£3.00 (+ VAT £0.60) |
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Workshops and Tour |
The publishing process and recent trends in publishing
Monday 3 September between 20.00–21.30 hours
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I wish to attend
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Complimentary tour of Cambridge
Thursday 6 September at 14.00 hours
(Places are limited and will be allocated in the order in which registrations are received.)
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I wish to attend
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Payment Information
All participants, including those from overseas, must pay the costs in British pounds sterling.
Payment may be made by cheque, international transfer, BACS, credit card or invoice.
A VAT invoice will be issued on registration. VAT reg no. 572 9262 18
Please indicate how you wish to pay
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I wish to pay by cheque.
I will forward a cheque to you with a printed copy of my registration form
acknowledgement email. Please make cheques payable to Jill Rogers Associates and send it to:
NET2012 Conference, Jill Rogers Associates,
6 The Maltings, Millfield, Cottenham, Cambridge,
CB24 8RE UK
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For International transfers or BACS
payments please pay into:
Account name: Jill Rogers Associates Ltd
Bank: Royal Bank of Scotland
Account no: 22024144
Sort code: 16-15-19
IBAN code: GB30RBOS16151922024144
Swift/BIC code: RBOSGB2L
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I wish to pay by credit card through Paypal.
*Please note Paypal will add a fee of 3.4% for using their facility to your total amount, this will be shown as postage and packing.
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I wish to be invoiced.
Please complete the invoice form below with the details of the person and/or organisation that will be paying.
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