Registration Form

To register please complete the following form and print out. At present we are unable to offer online registration.

Fax completed form to: +44 (0) 1865 843958 or 853282
Mail to: Emma White, Elsevier, The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, UK

Please register me for the The Eighth Pangborn Sensory Science Symposium

Delegate Details

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Please tick this box if you do not wish your name and affiliation to be included in the list of attendees given to delegates at the meeting.

Please tick this box if you do wish your email address to be given out to delegates of this conference, in the knowledge that it may be used by them for future 3rd party mailings.

Oral and Poster Presenters should provide their abstract reference number in order to ensure that their material is included in the final programme and abstract book.
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Please send me information on exhibiting and sponsorship opportunities

Registration Rate

Registrations received before 15 May 2009

Early-booking Industrial Delegate (for all registrations received before 15 May 2009)
€550 + VAT @ 20% = €660

Early-booking Academic/Government Delegate (for all registrations received before 15 May 2009)
€450 + VAT @ 20% = €540

Early-booking Student Delegate* (for all registrations received before 15 May 2009)
€340 + VAT @ 20% = €408

Registrations received after 15 May 2009

Industrial Delegate (for all registrations received after 15 May 2009)
€650 + VAT @ 20% = €780

Academic/Government Delegate (for all registrations received after 15 May 2009)
€550 + VAT @ 20% = €660

Student Delegate* (for all registrations received after 15 May 2009)
€440 + VAT @ 20% = €528

*Student registrations must be accompanied by a signed letter from your head of department attesting to your student status

Please book me tickets for the conference dinner @ €70 + VAT @ 20% = €84.00 per ticket.

Payment Details

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I confirm that all of the above information is correct and that I am the valid credit card holder or authorised to enter into this transaction on behalf of the individual identified above, who is the valid credit card holder.

Declaration

(Please note that unsigned forms cannot be accepted)

I have read and agree to abide by the payment and cancellation terms, and I understand that this form confirms my conference booking. I accept that from now on charges will be imposed for cancelled registrations, and that up to the full registration fee will be payable if I am unable to attend the conference for any reason.

Signed:_________________________________________________

Date:_____________

The personal information that you provide on this form will be used by Elsevier Limited, (a company registered in England and Wales with company number 1982084, whose registered office is The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, UK, conferenceinfo@elsevier.com) and its offices worldwide to process your registration.

We use your credit card and billing address details to bill you for the purchase and, where necessary to process the transaction, will pass this information on to relevant third parties. Your credit card information is used only for completing the purchase transaction and is retained only as necessary for administration purposes

The contact information you have provided may, with your permission, be used by us and affiliated and non-affiliated third parties for marketing purposes. We respect your privacy and do not rent, sell or disclose your personal information to any non-affiliated third party without your consent.

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