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              *        SUMMER SCHOOL AND WORKSHOP ON    *
              *             GENERIC PROGRAMMING         *
              *              REGISTRATION FORM          *
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          St Anne's College, Oxford, UK, 26th to 30th August 2002


TITLE .....


FIRST NAME .....


LAST NAME(S) .....


AFFILIATION .....


POSTAL ADDRESS .....


EMAIL .....


TELEPHONE .....


FAX .....


PARTICIPANTS LIST

We intend to produce a list of participants for distribution at the
school. Unless you ask us not to, your details will be included in this
list.

  Please do not include my details in the list of participants: ...


REGISTRATION FEE (choose one; edit email or tick hard-copy):

 * student        200.00 .....
 * non-student    300.00 .....

Prices in pounds sterling; this includes lecture theatre hire and
photocopying. 

If you're attending Advanced Functional Programming too, you get a
discount on registration; but you'll need to register for both at about the
same time so that we can verify your discount:

 * student, also attending AFP         -25.00 .....
 * non-student, also attending AFP     -50.00 .....

If you register before the early registration deadline of
17th May 2002, there is a further discount:

 * early registration discount         -50.00 .....


ROOM (choose one):

 * single ensuite room, bed-and-breakfast: 58.50  .....
 * single standard room, bed-and-breakfast: 38.50 .....
 * no accommodation required: 00.00               .....

All prices are in pounds sterling per night. Price of room includes
breakfast but no other meals.  You don't have to stay in college; Oxford
has a youth hostel and a backpacker's hostel, for which details will be
provided shortly (but you'll have to arrange those yourself).


DURATION OF STAY (choose which, if accommodation is required):

 * arrival day:  25th 26th
 * departure day:  30th 31st


FOOD (choose which):

 * day rate only: 16.50            26 27 28 29 30 31
 * evening meal: 17.60          25 26 27 28    30
 * banquet: 25.30                           29
   number of banquet tickets required: .....
 * special dietary requirements YES/NO
   (please specify)

Prices for the day rate and evening meal are per day. "Day rate" includes
coffee, lunch and tea, but not evening meal.  The banquet will be on the
Thursday evening; there will be no ordinary meal that evening (but there
are plenty of cheaper alternatives nearby).  All prices are in pounds
sterling.


TOTAL COST (add registration, room and food costs): 

Registration .....
Room         .....
Daily food   .....
Banquet      .....
------------------
Total        .....

Please pay in pounds sterling or in euros. If you pay in euros, please use
the prevailing exchange rate, but note that an adjustment may be necessary
on arrival. A surcharge of 10 pounds should be added for foreign currency
payment. 

Payment mechanism (choose one):
  ..... cheque, payable to "Oxford University Department for Continuing
                Education", sent with or shortly after this form 
  ..... credit card
        Card holder:     ..........
        Billing address: ............................................
                         ............................................
                         ............................................
        Card type:       .......... (Mastercard or Visa only)
        Card number:     ..........
        Expiry date:     ..........
        Signature:       ..........

Your registration is not complete until we have received your payment; we
will email you notification of this.


STUDENT WORKSHOP:

 * I would like to make a presentation at the workshop: YES/NO
 * If so, please email us an abstract, and specify the title:
   ...............................................................

There will be a student workshop at the end of the school, at which
participants will be able to present their own work, and obtain comments
from the lecturers. Presentations will be about 20 minutes, and the number
of slots will be limited.


EDUCATIONAL BACKGROUND 
(please provide a short description of your mathematical and computing
background; a few sentences will do)








ADDITIONAL INFORMATION
(please give details of any other information you think we should know)