Registration Form

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14th ACM Workshop on Multimedia and Security - 6 and 7 September 2012

Type of Registration

ACM or Special Interest Group Member

Non Member

Student

Member Number

Personal Details (please use ASCII-characters)

First name

Last name

Institution (Line 1)

Institution (Line 2)

Email

Name Badge (use HTML-notation for special symbols)

Badge Name

Registration Fees - includes refreshments, lunches and social event (visit to Warwick Castle and dinner) - it does NOT include accommodation costs

Type and Fee

Warwick Castle and Dinner - extra tickets?

If required, you can purchase extra tickets for guests - please indicate below and the cost will be added to your registration fee.

Extra Tickets

Total transaction value: 0 GBP

Please tell us if you have any special dietary or other requirements.

Special Requirements

Luxury en-suite rooms have been reserved at Scarman House at a cost of £85.00 per night single occupancy with breakfast. To reserve one of these rooms please indicate below your arrival and departure dates. Students who require less expensive rooms can reserve a conference park room at a cost of circ. £60.00 per night. Accommodation should be paid on departure. Please indicate below your requirements:-

Scarman House – Luxury

Conference Park

No Accommodation Required

Arrival Date

Departure Date

Those staying at Scarman House can change their booking from single to double occupancy at an additional rate £15.00 per night - if you wish to do this indicate below

Your requirements

For further help on accomodation email: Yvonne Carty at y.j.carty@warwick.ac.uk

When you click the submit registration button your form will automatically forwarded to the organising secretariat, at the same time you will be taken to a secure site to make your payment. The payment should include registration fee and any additional costs. Accommodation is NOT paid at this stage. We take the following credit cards

The University does not take American Express or Diners Club cards

Privacy notice

This form will be used to manage attendance at an event. Your attendance at the event will be recorded and associated with your name, but no other personally identifiable data will be stored, and the data will not be used for any purpose other than as a record of the event.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

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