Personal Details

Salutation:     Mr Mrs Ms     Title: Prof. Prof. Dr Dr.

First Name:       Middle Name(s) (Initials):

Family Name:

Affiliation (Company/University/Institute):

Address:       

Daytime ph:        Fax:  

Email: 

Yes, I would like to participate in the conference:

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Payment Details

 
I am a Non IA-CAP Member an IA-CAP Member a Student

Number of conference dinner tickets required:

Please note any special dietary needs (e.g. Vegetarian/Lactose Free/ Gluten Free)
and number of members from your party who have these requirements.

Cancellation Policy:
Refund of 75% will be granted to conferees till September 14 2010.
From September 15 2010 no refunds are available.
Residue will be reimbursed after the conference.

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Payment Details

1) Please Invoice Me

  Use my details above
  Use a different address

  Invoice To:
  Contact Name:     

  Invoice Address:  

  Order Number:    
  (Optional)

2) Pay by PayPal  

  I would like to pay via PayPal

(If you select this option, payment instructions showing the total amount to be paid will be forwarded by email.)