MIUA 2010 Online Registration

{"elements":[{"isDiscrete":false,"hidden":false,"name":"FullName","readOnly":false,"id":35132844,"type":"textFieldElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Main Author|Main Author|Main Author","value":"0-mainauthormainauthormainauthor"},{"text":"Co-Author|Co-Author|Co-Author","value":"1-coauthorcoauthorcoauthor"},{"text":"Participant Only|Participant Only|Participant Only","value":"2-participantonlyparticipantonlyparticipantonly"}],"name":"Authorship","readOnly":false,"id":35132874,"type":"listElement"},{"isDiscrete":false,"hidden":false,"name":"paperno","readOnly":false,"id":35153166,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"email","readOnly":false,"id":35763552,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Affiliation","readOnly":false,"id":35132891,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"phone","readOnly":false,"id":35133275,"type":"phoneNumber"},{"isDiscrete":false,"hidden":false,"name":"Address line 1","readOnly":false,"id":35133298,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Address line 2","readOnly":false,"id":35133299,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Town or city","readOnly":false,"id":35133300,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"County","readOnly":false,"id":35133301,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Postcode","readOnly":false,"id":35133302,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Country","readOnly":false,"id":35133303,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"fax","readOnly":false,"id":35133360,"type":"phoneNumber"},{"isDiscrete":true,"hidden":false,"values":[{"text":"----","value":"----"},{"text":"275|Registration (Full) £275|Registration (Full) £275","value":"275|Registration (Full) £275|Registration (Full) £275"},{"text":"140|Registration (Student) £140|Registration (Student) £140","value":"140|Registration (Student) £140|Registration (Student) £140"},{"text":"140|One-day registration £140|One-day registration £140","value":"140|One-day registration £140|One-day registration £140"}],"name":"regType","readOnly":false,"id":35134710,"type":"paymentElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"----","value":"----"},{"text":"0|Accommodation not required|Accommodation not required","value":"0|Accommodation not required|Accommodation not required"},{"text":"30|Standard for 1 night; July 5 (£30)|Standard for 1 night; July 5 (£30)","value":"30|Standard for 1 night; July 5 (£30)|Standard for 1 night; July 5 (£30)"},{"text":"30|Standard for 1 night; July 6 (£30)|Standard for 1 night; July 6 (£30)","value":"30|Standard for 1 night; July 6 (£30)|Standard for 1 night; July 6 (£30)"},{"text":"30|Standard for 1 night; July 7 (£30)|Standard for 1 night; July 7 (£30)","value":"30|Standard for 1 night; July 7 (£30)|Standard for 1 night; July 7 (£30)"},{"text":"60|Standard for 2 nights; July 5,6 (£60)|Standard for 2 nights; July 5,6 (£60)","value":"60|Standard for 2 nights; July 5,6 (£60)|Standard for 2 nights; July 5,6 (£60)"},{"text":"60|Standard for 2 nights; July 6,7 (£60)|Standard for 2 nights; July 6,7 (£60)","value":"60|Standard for 2 nights; July 6,7 (£60)|Standard for 2 nights; July 6,7 (£60)"},{"text":"90|Standard for 3 nights; July 5,6,7 (£90)|Standard for 3 nights; July 5,6,7 (£90)","value":"90|Standard for 3 nights; July 5,6,7 (£90)|Standard for 3 nights; July 5,6,7 (£90)"},{"text":"0|-------------------|-------------------","value":"0|-------------------|-------------------"},{"text":"50|En-suite for 1 night; July 5 (£50)|En-suite for 1 night; July 5 (£50)","value":"50|En-suite for 1 night; July 5 (£50)|En-suite for 1 night; July 5 (£50)"},{"text":"50|En-suite for 1 night; July 6 (£50)|En-suite for 1 night; July 6 (£50)","value":"50|En-suite for 1 night; July 6 (£50)|En-suite for 1 night; July 6 (£50)"},{"text":"50|En-suite for 1 night; July 7 (£50)|En-suite for 1 night; July 7 (£50)","value":"50|En-suite for 1 night; July 7 (£50)|En-suite for 1 night; July 7 (£50)"},{"text":"100|En-suite for 2 nights; July 5,6 (£100)|En-suite for 2 nights; July 5,6 (£100)","value":"100|En-suite for 2 nights; July 5,6 (£100)|En-suite for 2 nights; July 5,6 (£100)"},{"text":"100|En-suite for 2 nights; July 6,7 (£100)|En-suite for 2 nights; July 6,7 (£100)","value":"100|En-suite for 2 nights; July 6,7 (£100)|En-suite for 2 nights; July 6,7 (£100)"},{"text":"150|En-suite for 3 nights; July 5,6,7 (£150)|En-suite for 3 nights; July 5,6,7 (£150)","value":"150|En-suite for 3 nights; July 5,6,7 (£150)|En-suite for 3 nights; July 5,6,7 (£150)"}],"name":"accommType","readOnly":false,"id":35134513,"type":"paymentElement"},{"isDiscrete":false,"hidden":false,"name":"specialneeds","readOnly":false,"id":35154188,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"diet","readOnly":false,"id":35154172,"type":"textFieldElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"----","value":"----"},{"text":"0|No extra ticket required|No extra ticket required","value":"0|No extra ticket required|No extra ticket required"},{"text":"35|One extra banquet ticket - £35|One extra banquet ticket - £35","value":"35|One extra banquet ticket - £35|One extra banquet ticket - £35"}],"name":"banquetExtra","readOnly":false,"id":35135012,"type":"paymentElement"}]}

Full name|Full name

Authorship|Authorship

Paper Number (max 2 papers per registration)|Paper Number (max 2 papers per registration)

Email address for confirmation of payment|Email address for confirmation of payment

Affiliation (Name of University, Hospital, Company etc.)|Affiliation (Name of University, Hospital, Company etc.)

Telephone|Telephone

Address line 1

Address line 2

Town or city

County

Postcode

Country

Fax|Fax

Registration Fee (for student registration, please ask your supervisor to send an email to miua@dcs.warwick.ac.uk confirming your status as a full-time registered student)|Registration Fee (for student registration, please ask your supervisor to send an email to miua@dcs.warwick.ac.uk confirming your status as a full-time registered student)

Type of Accommodation and Duration of Stay|Type of Accommodation and Duration of Stay

Please specify any special needs|Please specify any special needs

Dietary requirements|Dietary requirements

Extra Banquet Ticket|Extra Banquet Ticket

Total transaction value: 275 GBP

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