Process Mineralogy '18 - Registration Form

Please print this form, fill it in, scan it and then email to Jon Wills ( or post to 1 Freeman Collins Drive, Trescobeas Road, Falmouth, Cornwall, TR11 2GA, UK

Title (Prof., Dr., etc.):
Name to appear on delegate badge:
Postcode/Zip:     Country:

Please register me as follows:
Non-author† (£650):
Author† (£570):
Student* (£440):

Please supply:
Tick here if you require a Conference Dinner ticket (free to delegates)
Tick here if you require a Conference Dinner ticket for an accompanying guest (£50 each)

Total Payment:

If you wish to pay by bank transfer, tick here and Jon will email you with the details
If you wish to pay by credit card , please supply the following details:

Type of Credit Card:

VISA:   Mastercard:  
Number: Signiture Panel Code
3 Digit Signature Panel Code:
Expiry Date:

Cancellations received before 31 October 2017 will be subject to an administration charge of £75. Refunds cannot be made to those who cancel after this date. Substitutions may be made at any time.

*Student registration should be accompanied by certification from Head of Department