ICFT04 REGISTRATION FORM  - please fill out and email to R.A.Weston@ma.hw.ac.uk

	
SECTION 1
	
** Personal Details **
Last Name: 	
First Name: 	
Title: 	
Status :
(e.g. graduate student, postdoc, lecturer)
Email: 	
Institution:
Institution's Address: 	


Tel:

Special requirements - Please specify special dietary or other requirements:			      


SECTION 2
	
** Accommodation **
Please delete as appropriate:
	
- I intend to arrange my own accommodation

- I am a local participant

- Please help me to find Bed & Breakfast accommodation for April 16th

Section 3
	
** Financial Position **
Choose one option.
	

- I have sufficient funds to cover the cost of accommodation (where
  applicable) and Registration Fee.

- I am a graduate student, and would like to claim back accommodation costs.

- I am a graduate student, and would like to claim back accommodation and
  travel costs. I

Section 4
	
** Application to give a short talk **
	I wish to be considered to give a 30-minute talk during the
	meeting (bear in mind that there are very few slots and that preference
        will be given to students).


Proposed Title


Abstract (maximum of 250 words)