IoP TCM 2011 Online Registration

{"elements":[{"isDiscrete":false,"hidden":false,"name":"1303919804700_0.24524650694773498_0.8140345399853484","readOnly":false,"id":58473306,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"name","readOnly":false,"id":58473307,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"address","readOnly":false,"id":58473308,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"telephone","readOnly":false,"id":58473309,"type":"phoneNumber"},{"isDiscrete":false,"hidden":false,"name":"email","readOnly":false,"id":58473310,"type":"emailElement"},{"isDiscrete":false,"hidden":false,"name":"1303919804701_0.015508919806586752_0.41212500243425143","readOnly":false,"id":58473311,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"specials","readOnly":false,"id":58473312,"type":"textBoxElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"----","value":"0-"},{"text":"0","value":"1-0"},{"text":"1","value":"2-1"},{"text":"2","value":"3-2"},{"text":"3","value":"4-3"},{"text":"4","value":"5-4"},{"text":"5","value":"6-5"},{"text":"6","value":"7-6"},{"text":"7","value":"8-7"},{"text":"8","value":"9-8"},{"text":"9","value":"10-9"},{"text":"10","value":"11-10"}],"name":"member","readOnly":false,"id":58473313,"type":"listElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"----","value":"0-"},{"text":"0","value":"1-0"},{"text":"1","value":"2-1"},{"text":"2","value":"3-2"},{"text":"3","value":"4-3"},{"text":"4","value":"5-4"},{"text":"5","value":"6-5"},{"text":"6","value":"7-6"},{"text":"7","value":"8-7"},{"text":"8","value":"9-8"},{"text":"9","value":"10-9"},{"text":"10","value":"11-10"},{"text":"11","value":"12-11"},{"text":"12","value":"13-12"}],"name":"nonmembers","readOnly":false,"id":58473314,"type":"listElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"----","value":"0-"},{"text":"0","value":"1-0"},{"text":"1","value":"2-1"},{"text":"2","value":"3-2"},{"text":"3","value":"4-3"},{"text":"4","value":"5-4"},{"text":"5","value":"6-5"},{"text":"6","value":"7-6"},{"text":"7","value":"8-7"},{"text":"8","value":"9-8"},{"text":"9","value":"10-9"},{"text":"10","value":"11-10"},{"text":"11","value":"12-11"},{"text":"12","value":"13-12"},{"text":"13","value":"14-13"},{"text":"14","value":"15-14"},{"text":"15","value":"16-15"},{"text":"16","value":"17-16"},{"text":"17","value":"18-17"},{"text":"18","value":"19-18"},{"text":"19","value":"20-19"},{"text":"20","value":"21-20"}],"name":"concessions","readOnly":false,"id":58473315,"type":"listElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"I understand that lunch will be ordered and that I am/we are liable to pay for all registrations above, whether or not they actually attend.","value":"0-iunderstandthatlunchwillbeorderedandthatiamweareliabletopayforallregistrationsabovewhetherornottheyactuallyattend."}],"name":"willpay","readOnly":false,"id":58473316,"type":"checkboxElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Check payable to University of Warwick, mailed to Dept of Physics, UoW, Coventry CV4 7AL","value":"0-checkpayabletouniversityofwarwickmailedtodeptofphysicsuowcoventrycv47al"},{"text":"Pay individually at meeting, by cheque or credit card","value":"1-payindividuallyatmeetingbychequeorcreditcard"},{"text":"For groups of 3 or more only, registering by 28 May 2011: Invoice my department.","value":"2-forgroupsof3ormoreonlyregisteringby28may2011invoicemydepartment."}],"name":"payment","readOnly":false,"id":58473317,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"ordernumber","readOnly":false,"id":58473318,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"1303919804705_0.017714373475153478_0.8973662032561079","readOnly":false,"id":58473319,"type":"commentElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"true","value":"0-true"},{"text":"true","value":"1-true"},{"text":"IoPTCM","value":"2-ioptcm"},{"text":"false","value":"3-false"},{"text":"false","value":"4-false"}],"name":"abstracts","readOnly":false,"id":58473320,"type":"attachment"},{"isDiscrete":false,"hidden":false,"name":"titles","readOnly":false,"id":58473321,"type":"textBoxElement"}]}

It really helps us if you register online. Thanks.

Name(s)

Affiliation/Address

Telephone

email

Coffee, Lunch and tea are included in the registration fee below.

Any special diets?

IoP Members at £20 each

Non-members at £25 each

Concessions at £10 each (Students/Retired/Unemployed)

I understand that lunch will be ordered and that I am/we are liable to pay for all registrations above, whether or not they actually attend.

Check payable to University of Warwick, mailed to Dept of Physics, UoW, Coventry CV4 7AL

Pay individually at meeting, by cheque or credit card

For groups of 3 or more only, registering by 28 May 2011: Invoice my department.

Order number for invoicing

For each poster submission, please EITHER submit a complete abstract file OR type in authors and title. MAX one poster per attendee.

Poster submissions as abstract file

Attach file

No files are currently attached.

Poster submissions as Authors & Title

Privacy notice

This form is anonymous. No data which personally identifies you is collected on the form, and the data you provide is used solely to help us improve the delivery of our courses.

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.

Spam prevention