Registration form (payment by cheque, invoice or internal Warwick transfer)

{"elements":[{"isDiscrete":false,"hidden":false,"name":"Title","readOnly":false,"id":490018261,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Surname","readOnly":false,"id":490018262,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"First name","readOnly":false,"id":490018263,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Institution/organisation","readOnly":false,"id":490018264,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Department","readOnly":false,"id":490018265,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Post/position/course","readOnly":false,"id":490018266,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Address","readOnly":false,"id":490018267,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"Telephone","readOnly":false,"id":490018268,"type":"phoneNumber"},{"isDiscrete":false,"hidden":false,"name":"email","readOnly":false,"id":490018269,"type":"emailElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Yes","value":"0-yes"},{"text":"No","value":"1-no"}],"name":"I have had an abstract accepted by the conference:","readOnly":false,"id":490018270,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"Dietary requirements","readOnly":false,"id":490018271,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"Disability requirements","readOnly":false,"id":490018272,"type":"textBoxElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Student: Mon 19 March only, no conference dinner - £68","value":"0-studentmon19marchonlynoconferencedinner68"},{"text":"Student: Mon 19 March only, with conference dinner - £88","value":"1-studentmon19marchonlywithconferencedinner88"},{"text":"Student: Tue 20 March only, no conference dinner - £68","value":"2-studenttue20marchonlynoconferencedinner68"},{"text":"Student: Tue 20 March only, with conference dinner (on Mon 19 March) - £88","value":"3-studenttue20marchonlywithconferencedinneronmon19march88"},{"text":"Student: both days, no conference dinner - £80","value":"4-studentbothdaysnoconferencedinner80"},{"text":"Student: both days, with conference dinner - £100<BR>","value":"5-studentbothdayswithconferencedinner100br"},{"text":"Staff: Mon 19 March only, no conference dinner - £102","value":"6-staffmon19marchonlynoconferencedinner102"},{"text":"Staff: Mon 19 March only, with conference dinner - £122","value":"7-staffmon19marchonlywithconferencedinner122"},{"text":"Staff: Tue 20 March only, no conference dinner - £102","value":"8-stafftue20marchonlynoconferencedinner102"},{"text":"Staff: Tue 20 March only, with conference dinner (on Mon 19 March) - £122","value":"9-stafftue20marchonlywithconferencedinneronmon19march122"},{"text":"Staff: both days, no conference dinner - £120","value":"10-staffbothdaysnoconferencedinner120"},{"text":"Staff: both days, with conference dinner - £140","value":"11-staffbothdayswithconferencedinner140"}],"name":"Fee","readOnly":false,"id":490018273,"type":"radioElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"By cheque (made payable to 'The University of Warwick' and sent to IATL, University of Warwick, Coventry, CV4 7AL with your details written clearly on the back)","value":"0-bychequemadepayabletotheuniversityofwarwickandsenttoiatluniversityofwarwickcoventrycv47alwithyourdetailswrittenclearlyontheback"},{"text":"By invoice","value":"1-byinvoice"},{"text":"By internal transfer (Warwick delegates only; please ensure the budget holder emails BCUR.2012@warwick.ac.uk with the relevant cost code and the names of those for whom payment is to be made)","value":"2-byinternaltransferwarwickdelegatesonlypleaseensurethebudgetholderemailsbcur.2012warwick.ac.ukwiththerelevantcostcodeandthenamesofthoseforwhompaymentistobemade"},{"text":"I have a Warwick fee waiver (you must have had confirmation that your application for a waiver has been successful)","value":"3-ihaveawarwickfeewaiveryoumusthavehadconfirmationthatyourapplicationforawaiverhasbeensuccessful"}],"name":"Payment","readOnly":false,"id":490018274,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"PO number","readOnly":false,"id":490018275,"type":"textFieldElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"false","value":"0-false"},{"text":"false","value":"1-false"},{},{"text":"false","value":"3-false"},{"text":"false","value":"4-false"}],"name":"PO upload","readOnly":false,"id":490018276,"type":"attachment"},{"isDiscrete":true,"hidden":false,"values":[{"text":"I agree to my name, affiliation and email address being included on the attendance list distributed to all delegates at this event.","value":"0-iagreetomynameaffiliationandemailaddressbeingincludedontheattendancelistdistributedtoalldelegatesatthisevent."},{"text":"I would like to receive information about future IATL events.","value":"1-iwouldliketoreceiveinformationaboutfutureiatlevents."}],"name":"Agreements","readOnly":false,"id":490018277,"type":"checkboxElement"},{"isDiscrete":false,"hidden":false,"name":"1552236235426_0.3387867152321744_0.7080066131980188","readOnly":false,"id":490018278,"type":"commentElement"}]}