19th UK Asynchronous Forum
Registration Form

Imperial College London logo

Mr Terrence Mak
19th UK Async Forum Registration,
9/F, EEE-CAS,
Dept. Electrical and Electronic Engineering,
Imperial College London,
South Kensington campus,
London SW7 2BT.

Fax: +44 (0)20 7581 4419
Email: t.mak@imperial.ac.uk

Please print, complete (using block capitals) and return this form to the above address as soon as possible, together with the registration fee.

There are two registration options (please delete as appropriate) :-

Option A : £35.00 covers Forum materials, dinner and refreshments only. No accomodation provided.

Option B : £65.00 covers Forum materials, dinner, refreshments and accomodation in Wigram House, Victoria, for 1 night (3rd September).

Please make cheques payable to: "Imperial College Science, Technology and Medicine" .
Please contact us for other payment arrangements.


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