Sustainable Minerals '18 - Registration Form

Please print this form, fill it in, scan it and then email to Jon Wills (jon@min-eng.com) or post to 1 Freeman Collins Drive, Trescobeas Road, Falmouth, Cornwall, TR11 2GA, UK

Name:
Title (Prof., Dr., etc.):
Name to appear on delegate badge:
Organisation:
Address:
City
Postcode/Zip:     Country:
Telephone:
Email:

Please register me as follows:
(Please tick one box only)
Sustainable Minerals '18 ONLY Sustainable Minerals '16 and 1-day at Biohydromet '16 Sustainable Minerals '16 and Biohydromet '16
Non-author† (£495):
Non-author† (£695):
Non-author† (£965):
Author (£425):
Author† (£625):
Author† (£885):
Student* (£315):
Student* (£515):
Student* (£755):

Please supply:
(The Biohydromet '16 dinner is on Tuesday 21 June))
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:
Signature:

Cancellations
Cancellations received before 1 May 2016 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.

† To register as an author you must have a paper in a at least one conference
*Student registration should be accompanied by certification from Head of Department