Conference Registration
{"elements":[{"isDiscrete":false,"hidden":false,"name":"Surname","readOnly":false,"id":445292139,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"First Name","readOnly":false,"id":446451219,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"email","readOnly":false,"id":445290777,"type":"emailElement"},{"isDiscrete":false,"hidden":false,"name":"University / Affiliation","readOnly":false,"id":445292141,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"1521904312234_0.5177985023891201_0.4535119221098475","readOnly":false,"id":445290939,"type":"commentElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"----","value":"----"},{"text":"Full Fee £30.00","value":"30.00"},{"text":"Student Fee £20.00","value":"20.00"}],"name":"Registration Fee (you will be re-directed to a payment screen when you submit this form)","readOnly":false,"id":447368205,"type":"paymentElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Yes","value":"0-yes"},{"text":"No","value":"1-no"}],"name":"Please indicate if you would like to attend the exhibition opening and wine reception at the Lanchester Research Gallery on 8 June 2018","readOnly":false,"id":447993044,"type":"listElement"},{"isDiscrete":false,"hidden":false,"name":"Please specify any dietary requirements","readOnly":false,"id":445290877,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Please specify any other requirements","readOnly":false,"id":445292173,"type":"textFieldElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Name and affiliation","value":"0-nameandaffiliation"},{"text":"Email address","value":"1-emailaddress"}],"name":"I give consent for you to include the following in the conference programme:","readOnly":false,"id":445292190,"type":"checkboxElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Yes","value":"0-yes"}],"name":"I confirm I have read the terms and conditions (to be found at the bottom of the page)","readOnly":false,"id":449151543,"type":"checkboxElement"}]}
Please read the terms and conditions before submitting the form.