The Dundee Conference. Crop Protection in Northern Britain

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CPNB 2012: The Dundee Conference
Environmental Management & Crop Protection 28 - 29 February 2012

PLEASE COMPLETE A SEPARATE FORM FOR EACH DELEGATE

If you are booking more than one delegate, please include details within the "Additional Delegates" box below for those who you wish to include in the same payment (cheque / BACS / Invoice / Credit or Debit Card)

Name :
(as you wish it to appear
on your badge)

Address :

Telephone Number:

E-mail Address:   ESSENTIAL!!

Organisation :
(as you wish it to appear
on your badge)

Category of Delegate [choose option]:
  Adviser
  Trade representative
  Research Institute
  University / College
  Government
  Student
  Farmer
  Press
  Other

Special dietary or other requirement :

Section ONE: Delegate Fees
N.B. THE PRICES BELOW INCLUDE A LATE BOOKING SUPPLEMENT CHARGE OF £10 (£20 IF ATTENDING BOTH DAYS) FOR BOOKINGS PLACED AFTER 1st FEBRUARY

Please register a place for me for:

  Both days:     Standard price: £200    Concessions*: £110

  Day 1 (28th)  Standard price: £100     Concessions*: £55
  Day 2 (29th)  Standard price: £100     Concessions*: £55

*  Concessionary rate: applies to Session Organisers and full time Phd and Masters students only. Full rate applies to all others (including speakers other than Invited Keynote Speakers). If you are proposing bringing a Student Group, please contact the CPNB Administrator for details of special group rates.
I will attend the Optional Dinner (£30) at the West Park Centre on 28th February:
    Yes [REMEMBER TO INCLUDE £30 IN YOUR TOTAL PAYMENT BELOW]
    No

Section TWO: Proceedings, Sponsored by Bayer CropScience Ltd
    Conference Participant (enter number) copies @ £30
    Non-attenders (enter number) copies @ £40, including p+p

Please choose ONE of the following options for Method of Payment:
REMEMBER TO INCLUDE THE COSTS OF OPTIONAL EXTRAS (CONFERENCE DINNER AND/OR PROCEEDINGS) IN YOUR TOTAL

Additional delegates :
please complete the
above sections on
separate forms for
each additional delegate

Contact and Address
for Invoice :
(if different from above)

Purchase Order No :
(if necessary)

      Please send me an INVOICE for : £
           to cover this and related registrations.
          [N.B. Provide a PO Number (above) if one is required by your organisation]
          Please use this option if you will be paying by BACS or cheque. If you wish to pay by
          Credit / Debit Card, please use the option below.

      I will pay by Credit / Debit Card.
         Please e-mail me a PayPal Invoice for : £
          If this should be sent to a different e-mail address from that shown above, please enter the
          appropriate details in the "Contact..for Invoice" box

       I am sending a CHEQUE immediately for : £
           to cover this and related registrations. (See further instructions below)

Cheques should be made payable to the Association for Crop Protection in Northern Britain. Please write the name of the Delegate(s) for whom the payment is being made on the back of the cheque.

Contact:
Tim Heilbronn
CPNB Administrator
74a Errol Road
Invergowrie
Dundee DD2 5AF
Tel: 07754 271562
e-mail: tim@cpnb.org

Name : (as you wish it to appear on your badge)
Address :
Telephone Number:
E-mail Address:	ESSENTIAL!!
Organisation : (as you wish it to appear on your badge)

Additional delegates : please complete the above sections on separate forms for each additional delegate
Contact and Address for Invoice : (if different from above)
Purchase Order No : (if necessary)